In emergency department during initial assessment of a newly-admitted patient with diabetes, the nurse discovers all of these findings. Which findings should be reported to the health care provider immediately.
a. hammer toe of the left second metatarsophalangeal joint
b. rapid respiratory rate with deep inspirations
c.numbness and tingling bilaterally in the feet and hands
d. decreased sensitivity and swelling of the abdomen
Answer: b. rapid respiratory rate with deep inspirations
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A maternity nurse should be aware that amniotic fluid:
1. serves as a source of oral fluid and as a repository for waste of the fetus. 2. remains at about the same volume throughout the term of a healthy pregnancy. 3. having less than 300 ml is associated with gastrointestinal malformations. 4. having more than 2 L is associated with fetal renal abnormalities.
Evidence-based practice writers distinguish between background and foreground questions. What is a background question?
A) Based on current best research evidence. B) Specific, detailed questions about a clinical problem. C) General, foundational questions about a clinical issue. D) Questions located on websites.
The nurse manager for a busy medical unit in an acute care hospital noticed a trend of complaints regarding the restful environment of the unit in the patient satisfaction reports
At the staff meeting, this issue was discussed with the staff, and they decide that the best thing to do is which of the following? a. Administer sleeping medications at 2200 hours. b. Cluster nursing activities at night. c. Turn off all alarms after 2200. d. Keep lights on in the main hallway for safety reasons.
A 7-year-old boy is admitted to the hospital with a suspected diagnosis of lead toxicity. Which of the following assessment findings is most congruent with the client's diagnosis?
A) Decreased deep tendon reflexes B) Hemoglobin 9.9 g/dL C) Diffuse muscle pain D) White blood cells (WBC) 11,000/mm3