While inspecting a 5-year-old child's ears, the nurse notes that the right pinna protrudes outward and that there is a mass behind the right ear. In light of these findings, which vital-sign parameter would the nurse assess on priority?
1. Temperature
2. Heart rate
3. Respirations
4. Blood pressure
Correct Answer: 1
Rationale: Swelling behind an ear could indicate mastoiditis, and the presence of a fever would indicate a higher index of suspicion for this. There could also be changes in other vital-sign parameters, but they would not be specific for the presence of infection.
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The nurse is caring for a client diagnosed with cardiogenic shock who requires continuous oxygen saturation monitoring. Where would the nurse place the probe?
1. The fingers 2. The toes 3. The ear 4. The thumb
The nurse is assigned to care for a client with cirrhosis of the liver. The nurse recognizes the client's impaired liver function will affect:
A) metabolism of drugs. B) formation of hydrochloric acid. C) production of digestive enzymes. D) formation of red blood cells.
Problem-based learning has all of the following except:
a. collaboration. b. highly structured learning environment. c. clinical reasoning. d. self-directed learning.
A clinical practicum instructor who is teaching within an evidence-based practice (EBP) integration curriculum has created a learning task that requires the application of the specific principles of EBP
What time constraints should the educator place on the activity? A) Allow students the autonomy to determine the pace and end date of the assignment B) Have the students complete the task in a series of real-time stages within clinical time C) Establish a firm deadline that is sufficient to maintain students' attention but not too distant D) Establish a deadline that is no more than 48 hours past the introduction of the task