A nurse is providing care to a patient with progressive shock. Which patient problem is characteristic of this stage and is priority in guiding the selection of interventions for this patient?
1. The patient's airway is often compromised.
2. Perfusion of oxygen and nutrients to tissues is insufficient.
3. The patient experiences maximal physiologic and psychologic stress in this stage.
4. Skin integrity continues to be impaired.
Answer: 2
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Which range represents the therapeutic INR range for a patient taking Coumadin?
a. 1.0 to 2.0 b. 2.0 to 3.0 c. 3.0 to 4.0 d. 4.0 to 5.0
An elderly female patient has a sudden onset of delirium during the first night of hospitalization. This episode suggests to the nurse:
1. The cause has to be determined immediately because it can signal another health problem. 2. The patient has Alzheimer's disease. 3. The patient is dehydrated. 4. The patient has an infection.
As the need and possible implementation of various methods for certification are discussed and debated, it's important that the ultimate results are what? (Select all that apply.)
A) There is an improvement of nurse competency. B) The client is protected. C) The skills of the nurse are sure and trustworthy. D) The quality of health care is improved. E) There is agreement among all parties.
The OR nurse is setting up a water-seal chest drainage system for a patient who has just had a thoracotomy. The nurse knows that the amount of suction in the system is determined by the water level. At what suction level should the nurse set the system?
A) 20 cm H2O B) 15 cm H2O C) 10 cm H2O D) 5 cm H2O