The original cell in which all blood cell types are believed to begin is called the
A) plasma cell.
B) pluripotent stem cell.
C) myeloid stem cell.
D) reticulocyte.
B
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A nurse caring for a critically ill patient uses the ISBARR method to communicate with a medical resident. The resident has not responded to the nurse. What action should the nurse take next?
A. Write an incident report on the medical resident. B. Speak to another medical resident who is on the unit. C. Contact the medical resident's director. D. Notify the next nurse about the situation during the handoff.
A 32-year-old female patient is taking tizanidine (Zanaflex) for spasticity related to her multiple sclerosis. The nurse will inform the patient and her husband that the adverse effect that poses the greatest safety risk to the patient is
A) constipation. B) dry mouth. C) fatigue. D) hypotension.
In planning care for a patient with a C4 spinal cord injury admitted to the intensive care unit, the nurse would document which of the following nursing diagnoses as a priority for this patient?
A) Risk for impaired skin integrity related to immobility and sensory loss B) Impaired physical mobility related to loss of motor function C) Ineffective breathing patterns related to weakness of the intercostal muscles D) Urinary retention related to inability to void spontaneously
The nurse is caring for an older adult client who was admitted to the hospital after having a stroke. The client was in extremely critical condition on admission to the emergency department and a Braden Risk Assessment Scale was not completed. On the client's fifth day of hospitalization, the nurse notes that the client has developed a stage one pressure injury on the elbow of the side affected by the stroke. Which is the implication of this situation in relation to reimbursement for care of the pressure injury?
A. Medicare will pay for the treatment because it was noticed while the client was still hospitalized. B. Medicare will not pay for treatment because the pressure injury was not properly documented. C. Medicare will pay for the treatment because pressure injuries are an expected outcome in a client who has had a stroke. D. Medicare will not pay for treatment because an initial skin assessment was not completed, so it is assumed that the pressure injury was caused by improper care at the hospital.