A nurse is providing care for a patient returning from an esophagogastroduodenoscopy. Which of the following observations would be most concerning to the nurse?
1. Respirations are 16 at rest.
2. Patient complains of shoulder pain that increases with movement.
3. Patient requests antacid for symptoms of heartburn.
4. Nurse discovers the patient eating lunch.
ANS: 2
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An 83-year-old stroke patient is exhibiting urinary incontinence. The nurse knows that various factors alter elimination patterns in older patients. Which of the following is an example of these factors?
A) Decreased residual volume B) Increased muscle tone C) Increased bladder capacity D) Decreased muscle tone
A hospital patient with a complex medical history that includes asthma has rung his call bell and states that he is having an asthma attack
The nurse has completed a rapid assessment of the patient and has identified the need for pharmacologic interventions. After consulting the patient's medication administration record, the nurse should administer a p.r.n. dose of: A) Hydromorphone (Dilaudid) B) Albuterol (Ventolin) C) Ipratropium (Atrovent) D) Fluticasone (Flovent)
The postoperative patient with anterior cervical laminectomy is complaining of tightness in his throat. His voice is raspy. The staff nurse asks the unit secretary to "Page Dr. Julio stat." This is an example of ____
a. Authoritarian leadership b. Democratic leadership c. Laissez-faire leadership d. Servant leadership
When two nursing assistants are transferring a patient with a transfer belt,
A) one assistant stands in front and one in back of the patient. B) one assistant stands on each side of the patient. C) each assistant holds the belt from the back. D) each assistant stands three feet away from the patient on either side.