After open-heart surgery a client develops a temperature of 102*F. The nurse notifies the physician, because elevated temperatures:
a. Increase the cardiac output
b. May indicate cerebral edema
c. May be a forerunner of hemorrhage
d. Are related to diaphoresis and possible chilling
Ans: a. Increase the cardiac output
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100.8 ° f = _____ ° c
a. 37.4 b. 39.7 c. 40.1 d. 38.2
An adult client is to have a large-volume cleansing enema. The nurse is aware that the MOST appropriate temperature of the solution to be administered should be:
a. 100 degrees Fahrenheit c. 115 to 120 degrees Fahrenheit b. 105 to 110 degrees Fahrenheit d. 125 degrees Fahrenheit
During assessment, a nurse notes that the client's right pupil is 2 mm larger than the left pupil. The nurse would first do which of the following?
A. Ask the client how long this condition has been present. B. Attempt to elicit a red reflex in both eyes. C. Document the finding as the only action. D. Notify the physician.
The healthcare organization has elected to move towards use of electronic medical records (EMR). In order to be most successful, management should involve nurses in which part of this work? Select all that apply
1. Reviewing the EMR systems available 2. Implementation of staff training 3. Funding decisions related to purchase of EMR 4. Developing the process of implementing the EMR 5. Long-term evaluation of use of the EMR