You are caring for a patient at risk of shock. What physiologic response would you know to look for while assessing for shock?
A) Activation of infectious response
B) Increased blood pressure
C) Hypoperfusion of tissues
D) Temperature
Ans: C
Feedback: Regardless of the initial cause of shock, certain physiologic responses are common to all types of shock. These physiologic responses include hypoperfusion of tissues, hypermetabolism, and activation of the inflammatory response.
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Which of the following statements regarding the impact of managed health care on the delivery of psychiatric services is true?
1. Managed mental health care has resulted in shorter, more intense psychiatric hospital stays to keep costs down. 2. Clients are admitted to hospitals in earlier stages of psychiatric illnesses. 3. Cost containment has created an entire range of ambulatory care services that are considered ineffective. 4. Shorter models for psychiatric services and outpatient treatment do not meet the lifestyle needs of clients and their employers.
The nurse caring for small-for-gestational-age (SGA) infants assesses them for attainment of outcomes related to nursing diagnoses. Which assessment finding best demonstrates attainment of priority outcomes?
A. Body temperature of 97.5 °F (36.4 ° C) B. Gains weight regularly C. Parents visit daily D. Skin remains intact
Each member of the mental health team
1. is a psychiatrist. 2. was once a client. 3. has specialized training. 4. practices psychotherapy.
A client being treated for pancreatitis faces the risk of atelectasis. Which of the following interventions should a nurse consider to minimize this risk?
A) Monitor pulse oximetry every hour. C) Instruct the client to avoid coughing. B) Withhold oral feedings for the client. D) Reposition the client every 2 hours.