If a patient who has fallen down a flight of steps has a low body temperature, low blood pressure, and high blood glucose levels, he or she is probably
a. in the initial injury (ebb) phase.
b. in the recovery (flow) phase.
c. developing a serious infection.
d. developing multiple organ dysfunction syndrome (MODS).
Answer: a. in the initial injury (ebb) phase.
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The nurse using the PACE interview guide for persons at risk for substance abuse arrives at a score of 2 for an adolescent patient. How would the nurse interpret this score?
a. Nonindicative of potential substance abuse b. Normal experimentation of the adolescent c. Need to schedule another PACE interview in 3 months d. Indication for referral for counseling
A patient is being mechanically ventilated with SIMV at a rate of 25. The nurse would question this order for which reason?
1. The rate could be too high for this mode. 2. The patient will be more comfortable with a different mode. 3. The patient is not receiving enough sedation. 4. SIMV is always used in combination with PEEP.
A nurse in a long-term care facility teaches aides to assist several older adults with bathing each day. Which of the following interventions should the nurse include in the teaching?
A) Apply perfumed products after bathing to promote hygiene and self-esteem. B) Cleanse groin with isopropyl alcohol to eliminate potential pathogens. C) Dry skin thoroughly; particularly between the toes and other areas where skin touches. D) Use water that is warm to hot (100°F to 105°F) to prevent hypothermia.
In order to save money, institutions will have a ________________ and a policy defining allowable therapeutic substitutions.
a. closed formulary b. open formulary c. safety stock d. generic formulary