Which patient is most likely to benefit from using a rapid-response team (RRT)?
1. A 10-year-old in the Emergency Department
2. A 51-year-old in the Cardiac Intensive Care Unit
3. A 73-year-old on a urology unit
4. A 43-year-old in a physician's office
3
Explanation: 1. RRTs are teams of critical care experts who come to the bedside of patients who are not in intensive care. The ED generally has experts present, so this team would not be used.
2. RRTs are teams of critical care experts who come to the bedside of patients who are not in intensive care. This patient is already in ICU.
3. This patient is not on a unit where critical care experts would normally work. This patient would be a candidate from treatment by a RRT.
4. RRTs are hospital based and would not be available to this patient.
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The nurse is planning care for the patient with hypertension and obesity. Which of the following is a reasonable and measurable outcome for the nursing diagnosis noncompliance with treatment regimen related to side effects of medications?
a. Patient will state two lifestyle modifications for weight management by (date certain). b. Patient will be compliant with treatment regimen by (date certain). c. Patient will understand the disease process by (date certain). d. Patient's blood pressure will never increase.
A patient with type 2 diabetes is taking an oral hypoglycemic agent. She complains of feeling "poorly" since she started taking a sulfonamide for a urinary tract infection. The nurse should take which of the following actions?
a. Have the patient come in immediately for re-evaluation. b. Have the patient check her blood glucose level to see whether it is high. c. Instruct the patient to check her blood glucose level to see whether it is low. d. Advise the patient to add an extra snack just prior to bedtime.
The nurse is caring for a 4-year-old child who has pain. Which technique will the nurse use to best assess pain in this child?
a. Use the FACES scale. b. Check to see what previous nurses have charted. c. Ask the parents if they think their child is in pain. d. Have the child rate the level of pain on a 0 to 10 pain scale.
During the interview component of the health assessment, how does the nurse convey to the client that the information is important?
A) nodding frequently during the interview B) sitting at eye level with the client C) standing next to the client while interviewing D) limiting questions to those with yes or no answers