The nurse caring for a patient who has just had an arteriovenous (AV) access created in his right forearm this morning should assess: (Select all that apply.)
a. for a bruit on auscultation of the AV site.
b. capillary refill in the left hand.
c. blood pressure in the right arm.
d. adequate elevation of the right arm.
e. clotting of the AV access.
A, B, D, E
Blood pressure should not be taken in the affected arm.
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A 3-year-old child who has asthma is in the clinic for a well-child checkup
The nurse notes that the child is up-to-date for the DTaP, Hepatitis A, Hepatitis B, and the MMR vaccines but has only had one each of the Hib, the Rotavirus, and the PCV13 vaccines. Which vaccine(s) will the nurse anticipate administering to this child? a. Hib and Rotavirus vaccines b. PCV13 c. PCV13 and Hib d. Rotavirus
The nurse explains that the purpose of mucus is to:
a. warm the air entering the lungs. b. trap particles and bacteria. c. protect the cilia. d. clean the sinus cavity.
Which of the following behaviors by the nurse would lead you to suspect the nurse had crossed the professional boundaries with a family in his or her caseload?
a. disclosing personal details such as being single and available b. establishing house rules such as where to store belongings and where to park and defining routines c. listening to various family members talk about their needs and feelings d. letting the family have their wishes, being flexible, and encouraging the family to participate in care
An older patient taking lithium carbonate (Eskalith) for 2 months has all of the following conditions. Which symptom does the nurse report to the prescriber as a possible side effect that may require a change of drug or drug dosage?
a. Dry mouth b. Increased belching after meals c. Weight loss of 6 lb in 1 week d. International normalized ratio (INR) of 1.1