While at the local pool on an extremely hot day, the nurse is called on to care for a woman who has evidently suffered heat exhaustion. The initial nursing care for this person is to:
1. obtain vital signs.
2. move the patient into an air-conditioned or shaded area.
3. give her several glasses of ice water.
4. cover her with a wet towel.
2
The goal for treatment of heat exhaustion is initially to cool the body slowly in an air-conditioned or shaded area. Once the patient is moved, application of wet towels and giving cool drinks are appropriate.
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For most people, being hospitalized is seen as a(n):
a. Crisis b. Annoyance c. Chance to rest d. Expensive hotel
The nurse notes that a woman who has given birth 1 hour ago is touching her infant with the fingertips and talking to him softly in high-pitched tones. Based on this observation, the nurse should:
a. Document this evidence of normal early maternal-infant attachment behavior. b. Observe for other signs that the mother may not be accepting of the infant. c. Request a social service consult for psychosocial support. d. Determine whether the mother is too fatigued to interact normally with her infant.
Which of the following is an example of theoretical knowledge?
1) A nurse uses sterile technique to catheterize a patient. 2) Room air has an oxygen concentration of 21%. 3) Glucose monitoring machines should be calibrated daily. 4) An irregular apical heart rate should be compared with the radial pulse.
A patient who has a diagnosis of diabetes mellitus says, "I am worried because my feet are swollen. You don't think my diabetes is getting worse, do you?" The nurse identifies that the patient is hypertensive and has albuminuria
These findings would help substantiate which priority nursing diagnosis? 1. Excess Fluid Volume related to compromised regulatory mechanisms 2. Anxiety related to illness 3. Risk for Infection related to chronic disease process 4. Ineffective Denial related to minimization of symptoms