A nurse explains to family members that they can anticipate that death is very near for their loved one when they see which of the following? Select all that apply
1. Mottling of feet and legs
2. Edema of lower extremity
3. Slow and thready pulse
4. Agitation and withdrawal
5. Nonresponsiveness
ANS: 1, 2, 3, 5
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A patient has been prescribed antihypertensives. After assessment and analysis, the nurse has identified a nursing diagnosis of risk for ineffective health maintenance related to nonadherence to therapeutic regimen
When planning this patient's care, what desired outcome should the nurse identify? A) Patient takes medication as prescribed and reports any adverse effects. B) Patient's BP remains consistently below 140/90 mm Hg. C) Patient denies signs and symptoms of hypertensive urgency. D) Patient is able to describe modifiable risk factors for hypertension.
A novice nurse has accepted a position on a medical-surgical unit at a local university hospital. In order to provide safe care to clients, the nurse should plan to develop which competency?
A) Creating a culture of trust within the hospital B) Functioning as a member of the healthcare team C) Promoting appropriate values that clients should adopt D) Reporting families for bringing food to the client's room
What type of assessment is the nurse performing when beginning the assessment at the head and progressing down to the lower extremities?
A) Focused assessment B) Head-to-toe assessment C) Total body assessment D) Systems method
The client is experiencing extrapyramidal side effects from taking antipsychotic drugs. Which medication may be used to counteract these side effects?
A) Haloperidol (Haldol) B) Chlorpromazine (Thorazine) C) Fluphenazine (Prolixin) D) Benztropine (Cogentin)