What will you do first?
What will be an ideal response?
Because this is a medical emergency, call the rapid response team and physician. Place him on
oxygen therapy per protocol.
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The nurse who is demonstrating compliance with the American Nurses Association (ANA) standards of care would routinely do which of the following?
1. Apply research findings to client care. 2. Apply the nursing process to meet client's needs. 3. Perform peer evaluation to evaluate compliance with standards. 4. Participate in continuous quality improvement (CQI) activities to improve quality of care.
The charge nurse is looking at the charts of laboring patients. Which patient most requires further intervention?
1. Multip at 7 cm, fetal heart tones auscultated every 90 minutes 2. Primip at 10 cm and pushing, external fetal monitor applied 3. Multip with meconium-stained fluid, internal fetal scalp electrode in use 4. Primip in preterm labor, external monitor in place
What information will the nurse include when taking a developmental history? (Select all that apply.)
a. Previous experience with hospitalization b. Cultural needs c. History of illness d. Allergies e. Child's nickname
A nurse assesses an elderly patient who was found wandering and confused. The nurse feels sad and reflects, "She's like my grandmother…so helpless." Which term best applies to the nurse's response?
a. Rapport b. Transference c. Countertransference d. Defensive coping reaction