As a student nurse if you record an abnormal clinical measurement would you?
a. document this in the patient’s notes
b. call the doctor immediately
c. inform a health care assistant
d. inform a senior nurse or your mentor
Ans: A, D
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When caring for patients with chronic illness, the nurse needs to:
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Which of the following complications should the nurse be alert for in the client with Barrett's esophagus who is complaining of dysphasia?
A. Achalasia B. Esophageal stricture C. Paraesophageal hernia D. Oropharyngeal dysphagia
The nurse is caring for a client during a sickle cell crisis. Which intervention does the nurse implement for the client?
a. Administer acetaminophen (Tylenol) as needed. b. Administer intravenous fluids to keep the vein open. c. Keep the room temperature at 80° F. d. Transfuse red blood cells (RBCs).
The nurse is caring for a client who has sustained multiple injuries from a motor vehicle accident. The nurse realizes that the client will have a release of stress hormones that are useful for all of the following EXCEPT:
1. preventing loss of fluids. 2. preventing hypotension. 3. preventing infection. 4. preventing ingestion of food.