Which of the following risk factors, if identified in a patient's history, should be included in a teaching plan for modification?
a. Heredity and ethnicity
b. Smoking and high fat intake
c. Age and gender
d. Gender and ethnicity
ANS: B
B. Smoking and high fat intake are modifiable risk factors. A, C, and D are nonmodifiable risk factors.
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A 36-year-old patient diagnosed with meningitis has a fever of 102.3° F. A family member verbalizes a concern that the patient is "breathing fast
" Upon assessment, the nurse notes a respiratory rate of 20 breaths/min, pulse oximetry is 92% on 2L/O2, and lungs clear to auscultation. What is the best explanation for the rapid respiratory rate that the nurse can give the family member? a. "He is most likely anxious because he is in the hospital." b. "His fever has increased his metabolic rate and is causing him to breathe faster." c. "He is hyperventilating because he needs more oxygen." d. "He has an acid-base imbalance, which is causing him to hyperventilate."
A conflict develops between an associate nurse and a primary nurse over the assessment of a patient with pulmonary edema
Based on her assessment of the patient, the associate nurse insists that it is her role to change the care plan because she is the one who has made the assessment. As the nurse manager, you clarify that: a. It is the role of the primary nurse to make alterations based on assessment data and input. b. The associate nurse is accountable and responsible while the primary nurse is off duty and therefore is able to alter the care plan. c. Neither the primary nor the associate should make changes without first con-sulting you as the manager. d. It really does not matter who alters the nursing care plan as it depends on situa-tion and time to do so.
Transfer is defined as the ____
a. Discharge of an employee with poor performance b. Failure to retain an employee who is performing well c. Loss of an employee from an institution d. Movement of an employee from one area to another
To auscultate breath sounds in the right middle lobe from the anterior aspect, the nurse would place the diaphragm of the stethoscope at the:
1. second intercostal space. 2. third intercostal space. 3. fourth intercostal space. 4. fifth intercostal space.