The nurse on a medical-surgical unit is caring for a client who complains of chest pain. Assessment findings include a blood pressure of 72/40, pulse rate of 40, and respiratory rate of 32
Which action by the nurse is the priority in this situation?
1. Calling a code
2. Calling the rapid response team
3. Calling the client's primary health care provider
4. Calling the emergency department (ED) and requesting they send a health care provider
Correct Answer: 2
The client is still breathing, so the nurse would not call a code, but because the client is in distress, the rapid response team should be assembled. Only after calling for the rapid response team would the primary care provider be notified. The emergency department health care provider is generally busy with clients, and cannot respond to clients admitted to the hospital in most facilities.
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For which reason do many researchers prefer to write a hypothesis as a directional hypothesis?
1. The use of the null hypothesis in a study demonstrates the researcher's lack of critical thought about the phenomenon under study. 2. It clarifies the study's framework and demonstrates that the researcher has thought critically about the phenomenon under study. 3. A research hypothesis should not specify the proposed relationship between the study variables. 4. Occasionally the researcher writes a research hypothesis, which is the same as the null hypothesis.
After giving two breaths to an adult client who is not breathing, the rescuer should assess the client for:
a. return of consciousness c. strength of carotid pulse b. rise and fall of the chest d. tolerance of rescue breathing
A 58-year-old man has had a myocardial
infarction (MI), has begun rehabilitation, and is ready for discharge. He is given a prescription for metoprolol (Lopressor) and becomes upset after reading the patient education pamphlet. "I don't have high blood pressure—why did my doctor give me this medicine?" Which explanation by the nurse is correct? a. "This medication will prevent blood clots that may lead to another heart attack." b. "Beta blockers will improve blood flow to the kidneys." c. "This drug is prescribed to prevent the high blood pressure that often occurs after a heart attack." d. "Studies have shown that this medication has greatly increased survival rates in patients who have had a heart attack."
The nurse shows an understanding of the relationship of evaluation to the other phases of the nursing process when:
1. Being careful to effectively assess the client's needs. 2. Selecting the appropriate nursing diagnosis related to the client's needs. 3. Collecting client-focused data with a specific need in mind. 4. Evaluating by using assessment data to determine effective achievement of goals and outcomes. 5. Basing evaluation on assessment data collected during the admission phase.