A nurse is reviewing the stat laboratory data of a client in the emergency department. At what minimum blood alcohol level should a nurse expect intoxication to occur?
1. 50 mg/dL
2. 100 mg/dL
3. 250 mg/dL
4. 300 mg/dL
2
Rationale: The nurse should expect that 100 mg/dL is the minimum blood alcohol level at which intoxication occurs. Intoxication usually occurs between 100 and 200 mg/dL. Death has been reported at levels ranging from 400 to 700 mg/dL.
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An appropriate goal for a nursing diagnosis of "Anxiety related to perceived threat of disability" would be:
1. the patient will state that pain is relieved. 2. the patient will verbalize concerns about injury. 3. the patient will demonstrate realistic goal setting. 4. the patient will report that the limb did not become infected.
The health care provider instructs the parents of a toddler with allergies to avoid secondary smoke. What teaching should the nurse provide to assist these parents? (Select all that apply.)
A) Frequent smoke-free establishments. B) Declare the home and car smoke-free zones. C) Spray air freshener in the room after smoking. D) Ask individuals who smoke to smoke out of doors. E) Encourage family and friends to begin quit-smoking programs.
The ability of a person to use his arm muscles to lift a weight is primarily regulated by
1. the somatic nervous system. 2. the sympathetic nervous system. 3. the autonomic nervous system. 4. the central nervous system.
In caring for R.L., it is important for you to instruct the UAP to do which of the following?
Select all that apply. a. Assess R.L.'s skin status every shift b. Develop an every-2-hour turn schedule c. Use the appropriate sheets on the airflow bed d. Keep R.L.'s head of bed below a 30-degree angle e. Assist with hygiene measures when R.L. is incontinent f. Empty and measure output in the urine collection device