During a physical assessment, the nurse notes a patient has profuse secretions of sweat. What should the nurse document that the patient is experiencing?
a. Dyspnea
b. Cyanosis
c. Diaphoresis
d. Ecchymosis
ANS: C
Diaphoresis is the secretion of sweat, especially the profuse secretion associated with an elevated body temperature, physical exertion, exposure to heat, and mental or emotional stress.
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A 5-year-old child is hospitalized with osteomyelitis and will be going home in the next few days on intravenous (IV) antibiotics. Which action by the nurse is the most appropriate?
A. Ensure that a valid permit for a PICC line is on the chart. B. Locate a pharmacy that will supply the IV medications. C. Research the patient's insurance for home infusion coverage. D. Teach the child about a PICC line using a doll.
A patient has been prescribed antihypertensives. After assessment and analysis, the nurse has identified a nursing diagnosis of risk for ineffective health maintenance related to nonadherence to therapeutic regimen
When planning this patient's care, what desired outcome should the nurse identify? A) Patient takes medication as prescribed and reports any adverse effects. B) Patient's BP remains consistently below 140/90 mm Hg. C) Patient denies signs and symptoms of hypertensive urgency. D) Patient is able to describe modifiable risk factors for hypertension.
Erythrocytes (RBCs) are flexible biconcave disks without nuclei whose primary component is an oxygen-carrying molecule called:
a. erythropoietin. b. a reticulocyte. c. hemoglobin. d. 2,3-DPG
An older patient who is dying has complained of ongoing pain for several days. What is the best way for this patient's pain to be treated at the end of life?
1. Give immediate-release medications routinely. 2. Refrain from administering pain medication at end of life. 3. Administer maximum doses of long and short-acting pain medication routinely. 4. Give long-acting medications routinely and immediate-release doses with breakthrough pain.