The patient is recovering from general anesthesia and has a pulse oximeter reading of 82%. The nurse implements the stir-up regimen. What does this regimen include?
A) Assess vital signs every 15 minutes.
B) Administer a narcotic antagonist.
C) Elevate the patient's legs 45 degrees.
D) Encourage the patient to turn, cough, and deep breathe.
D
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When collecting data on a child suspected to have Wilms' tumor, which of the following is a priority action?
1. Use only light palpation on the kidney areas. 2. Use a deeper palpation on the kidney areas to feel the mass. 3. Omit palpating the kidney areas. 4. Examine the urethra for blood.
A patient with a fractured left femur is being cared for by an orthopedic nurse. The nurse would know that what signs indicate potential fat emboli?
A) Increased partial pressure of arterial oxygen (PaO2), reduced sensation in left leg or foot B) Left leg pain, dyspnea C) Bradycardia, skin bruises D) Cyanosis, decreased PaO2
Which of the following is an advantage of observational methods of data collection?
a. Data are free from distortions or biases. b. Inferences are based on attitudes and values of the observer. c. Subjectivity of researcher's observations adds credibility. d. These directly capture a record of events and behaviors.
The nurse is caring for a client in the neighborhood clinic. The client tells the nurse that ever since he was an adolescent he has avoided social situations because he has "one ear that is obviously bigger than the other ear
" The nurse observes that one of the client's ears does not appear to be larger than the other ear. The nurse suspects that the client may be experiencing: A) Undifferentiated somatoform disorder. B) Conversion disorder. C) Factitious disorder. D) Body dysmorphic disorder.