The nurse is assessing the dorsalis pedis pulses on an 88-year-old patient. She notes the feet to be cool and assesses weak, thready pulses. What should the nurse do next?

a. Assess the popliteal and femoral pulses.
b. Assess a 1-minute apical pulse.
c. Apply a warm pack and reassess in 20 minutes.
d. Notify the provider STAT.


a. Assess the popliteal and femoral pulses.

Nursing

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An elderly patient with multi-infarct dementia is striking out with her arms and kicking at people who walk past in the hall. The nurse determines that the patient believes she is at home and that the other patients have broken into her home

The clinical nurse specialist suggests that staff use validation. Which of the following responses reflect this intervention? a. "I'm a nurse who has come to check on you. Tell me about your home.". b. "You are in a nursing home. The others here are patients, just like you are.". c. "I wish you could be home, but you have been sick and are in a nursing home.". d. "You are not at home. This is a nursing home. It is September 10th, 2010.".

Nursing

The ___________ is the person conveying the message, whereas the ____________ is the individual or individuals to whom the message is conveyed

Fill in the blank(s) with correct word

Nursing

The hospital has been sued for the actions of a nurse employee. The hospital proves that the nurse was not providing care within the scope of employment as a nurse. Can the hospital still hold liability in this case?

1. Yes, if the plaintiff can prove the nurse was incompetent and that the hospital was aware of the incompetence. 2. Yes, the hospital is automatically liable for the action of any employee. 3. No, at this point the nurse is considered a "lone ranger" and the hospital is not liable for the nurse's actions. 4. No, the doctrine of ostensible authority relieves the hospital of liability related to a rogue employee.

Nursing

The effects of stress can be seen by measurement of clinical changes of the body. This statement is a tenet of which theorist?

a. Freud b. Selye c. Peplau d. Sullivan

Nursing