Thrombophlebitis may be prevented by completing which one of the following nursing interventions?
A. Gentle massaging of extremities.
B. Maintaining bed rest until taking in adequate p.o. fluids.
C. Providing deep breathing exercises.
D. Dangling client at side of bed for an extended time.
C
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A nurse is assessing a client at risk for dehydration. Which statement by the client indicates that more education by the nurse is required?
a. "I try to limit coffee to one cup in the morning and one cup in the early even-ing." b. "During the day I drink at least six to seven glasses of water." c. "Alcohol causes me to frequently urinate so I cut it out of my diet." d. "I stop drinking fluids in the afternoon to avoid bathroom trips at night."
A patient develops a high fever and has a urinary tract infection. The patient has malaise and is confused. The patient is
A) Septic B) Anorexic C) Lethargic D) Apneic
Which set of assessment data is consistent for a patient with severe infection that could lead to system failure?
a. Blood pressure (BP) 92/52, pulse (P) 56 beats/min, respiratory rate (RR) 10 breaths/min, urine output 1200 mL in past 24 hours b. BP 90/48, P 112 beats/min, RR 26 breaths/min, urine output 240 mL in past 24 hours c. BP 112/64, P 98 beats/min, RR 18 breaths/min, urine output 2400 mL in past 24 hours d. BP 152/90, P 52 beats/min, RR 12 breaths/min, urine output 4800 mL in past 24 hours
The nurse manager explaining evidence-based practice (EPB) to clinical nurses would add which concept(s) to the basic definition? Standard Text: Select all that apply
1. Quality 2. Patient-independent 3. Efficiency 4. Nurse-dependent 5. Timely