A nurse is providing care to a patient diagnosed with urinary sepsis. Which symptoms would the nurse evaluate as indicating the patient has entered the flow stage of metabolic response to this physiologic stress?
1. The patient's heart rate has increased to 125 beats/min.
2. The patient's respiratory rate has dropped from 24 to 18.
3. The patient's cardiac output has increased.
4. The patient's temperature is 101.6°F.
5. The patient's blood pressure has been stable for 24 hours.
1, 3, 4
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The nurse is caring for a client from another culture, who refused morning care. Possible cultural influences on the client include:(Select all that apply) Standard Text: Select all that apply
1. Religious practices 2. Growing up in an area with little water 3. Need for privacy 4. Need for assistance 5. Client's age
Which statement about self-concept is correct?
a. Self-concept stays the same throughout life. b. Self-concept is initially shaped by how others treat the individual. c. Self-concept is finalized once the individual passes adolescence. d. Illness has little effect on self-concept.
A client has been prescribed a barbiturate for control of seizures. What must the nurse
keep in mind when monitoring the client? A) Client is likely to have insomnia B) Client may have frequent mood changes C) Client may develop hypertension D) Client may have urinary frequency
The 17-year-old young woman signed her name on the consent form for her young child to have a flu immunization. The nurse asked the young woman if she also wanted a flu immunization
Assuming the woman said yes, can the nurse give the injection? A. No, unless the 17-year-old had her parents' consent B. Yes, if the young woman signs her own consent form C. Yes; it is important that both mother and child be protected. D. It would depend on the laws in that state regarding emancipated minors.