A client receiving total parenteral nutrition (TPN) through a central line reports chest discomfort and mild dyspnea. The nurse notes a churning sound over the permanent pacemaker implantation (PMI) and tachycardia
Which action should the nurse take first?
a. Replace the tubing and the TPN solution immediately.
b. Clamp the central catheter and place the client on the left side with the head lower than the body.
c. Start oxygen by mask to reduce the hy-poxia and notify the primary health-care provider immediately.
d. Assess the client for cough and cyanosis while evaluating the central catheter site for signs of infection.
B
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The nurse manager of the perinatal services unit wants to improve outcomes associated with perinatal loss. What action by the manager would best help meet this goal?
A. Develop a unit specifically for this population. B. Establish a multidisciplinary perinatal loss team. C. Identify key nurses to care for these patients. D. Provide debriefing services for the nursing staff.
An employee has requested special accommodations secondary to a disability. The hospital refuses, citing undue hardship. What must be present for that refusal to be upheld?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The accommodation would be very difficult to implement. 2. The accommodation would require physical changes to the work environment. 3. The accommodation would not be necessary if the employee changed positions. 4. The accommodation has never been made before this case. 5. The requested accommodation will require very expensive equipment and renovation.
Which of the following statements reflect an accurate understanding family core processes?
1. Core family processes focus on family structure 2. Core processes influence the health of family, rather than the individual 3. Core family processes can guide family nursing practices. 4. Nursing actions focused on family core processes focus on individual with an illness.
A client injured in military combat has returned to the family home
The family finds the illness is disrupting routines because the client is having problems with memory and has forgotten several times to meet the children after school to walk them home. By suggesting lists and utilizing sticky-notes for the client, the nurse teaches: A) The client how to interact with family. B) The client and family about past mistakes. C) How to trigger memory. D) The client to embrace the future.