When evaluating who may have a sample taken immediately for arterial blood gases, the nurse selects the client who:
A. Has been asleep
B. Has just been suctioned
C. Has been on continuous oxygen
D. Has had ventilator settings changed more than 2 hours ago
D
A, B, C, and D. Factors that influence ABG measurements: client who has just awakened, immediately after suctioning, less than 20 to 30 minutes after oxygen therapy or ventilation setting change, client whose oxygen has not been in place continually for at least 20 to 30 minutes.
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The nurse is caring for a client who has just undergone electroconvulsive therapy (ECT). Which of the following is an expected postprocedure manifestation of ECT?
A) Memory deficits B) Severe confusion C) Seizures D) Electrolyte imbalances
A 12-year-old boy accompanied by his mother reports sudden severe pain in the right lower abdomen and scrotum. There is no history of trauma. Upon physical examination, the right scrotum is extremely tender to touch. These are signs of:
A. Fournier's disease B. Testicular cancer C. Testicular torsion D. Varicocele of the testes
A client voluntarily signed the operative consent form. What is the nurse's next action?
a. Teach the client about the surgery. b. Have family members witness the signa-ture. c. Sign under the client's name as a witness. d. Call for the physician to sign the form.
A student nurse is documenting her last entry for the day. It is 3:15 PM and she needs to document her entry using military time. Which of the following is the correct way to document the time?
A. 315 B. 0315 C. 1315 D. 1515