A nurse suspects a client has an acute arterial occlusion. Early assessment findings that would confirm her suspicion include (Select all that apply)
a. pain.
b. pallor.
c. paralysis.
d. paresthesias
e. pulselessness.
A, B, E
Early signs are pain, pallor, and pulselessness. Paresthesias indicate advanced damage. Paralysis indicates irreversible damage.
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When a patient with sleep apnea says, "I'm not wearing that silly mask. I look like something out of Star Wars," what should the nurse remind the patient about the function of the mask?
a. Increases oxygen intake b. Stimulates regular respirations c. Sounds an alarm when the oxygen con-centration drops d. Uses positive pressure to keep the airway open
A nurse is planning a refugee outreach clinic at the neighborhood health center. Which of the following considerations should be made by the nurse in order to provide culturally competent care? (Select all that apply.)
a. Their own background, beliefs, and knowledge may be significantly different from those of the people receiving care. b. Language barriers may interfere with ef-forts to provide assistance. c. Certain risk factors may be present for a given population. d. Certain groups may use nontraditional healing practices. e. Introduction of the American culture will be an important part of the encounter.
A nurse is administering insulin to a diabetic patient. Which of the following are three recommended times to check the label before administration? Select all that apply
A) When reaching for the container or unit dose package B) After retrieval from the drawer and compared with the CMAR C) When comparing with the CMAR immediately after pouring from a multidose container D) When replacing the container to the drawer or shelf E) After giving the unit dose medication to the patient F) When documenting administration of the medicine
The most informative approach to determining a community's health needs is probably to survey the entire population. What is the primary reason this is not done?
A. A nurse would not know how to perform the survey. B. Community members would often refuse to answer questions. C. It would be too expensive in both time and cost. D. No community agency would want to be responsible for the results.