List five physical changes that you should report to the nurse as death approaches.
What will be an ideal response?
· The patient becomes less responsive.
· Body function slows down.
· Voluntary and involuntary muscle control is lost.
· Bowel and bladder control is lost.
· Jaw drops.
· Breathing becomes irregular and shallow.
· Circulation slows and extremities become cold.
· Pulse becomes rapid and weak.
· Skin becomes pale.
· The eyes stare and do not respond to light.
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If a discrepancy is found between the measurements of a newborn and the normative cri-teria, the nurse should:
a. Perform an expanded assessment. b. Remeasure the infant. c. Inform the parents so they can follow the infant's growth. d. Consider this a normal deviation.
The patient is being sent home from the hospital after a cardiac catheterization. What should the nurse instruct the patient to do first if bleeding should occur at the femoral artery puncture site?
a. Call the physician. b. Call 9-1-1. c. Apply pressure to the site. d. Apply a new bandage.
The home health nurse visiting an asthmatic child notes that the readings from the peak flow meter (PFM) are registering in the yellow zone. This is an indication for:
a. Routine assessments; medication is controlling the attacks b. Caution; an acute episode may be in progress c. Alarm; short-term bronchodilators need to be administered d. Concern; the meter is malfunctioning
The competency evaluation required by OBRA involves a:
a. Written test only b. Skills test only c. Written test and a skills test d. Licensing examination