CPR has been initiated on an adult patient. How will the nurse confirm the effectiveness of CPR?
a. Assessing an EKG pattern with each compression
b. Assessing a palpable carotid pulse during each compression
c. Assuring a compression depth of to 2 inches
d. Observing pupils that change from pinpoint to dilated
ANS: B
During effective CPR, a carotid pulse is palpable during each compression.
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A lack of true understanding can often be misread by the nurse as noncompliance. Which of the following statements demonstrate effective questioning methods to assess a patient's understanding?
a. "Do you take your heart medication every morning?" b. "Can you tell me what you know about your different heart medications?" c. "Do you take all your medications?" d. "Do you ever miss taking your medication?"
Which of the following reasons would explain why a nurse would inappropriately cluster data?
a. The nurse relies on the NANDA-approved list of nursing diagnoses. b. The nurse lacks sufficient theoretical and clinical expertise and knowledge. c. The nurse uses a standardized assessment tool to collect data. d. The nurse groups data cues that relate to each other.
Subtract the decimals manually: 1.05 - 0.72 = __________
Fill in the blank(s) with correct word
A patient diagnosed with schizophrenia demonstrates little spontaneous movement and has waxy flexibility. The patient's activities of daily living are severely compromised. An appropriate outcome would be that the patient will:
a. demonstrate increased interest in the environment by the end of week 1. b. perform self-care activities with coaching by the end of day 3. c. gradually take the initiative for self-care by the end of week 2. d. accept tube feeding without objection by day 2.