The nurse, caring for a client being monitored in the intensive care unit, realizes the client is at risk for which of these conditions?
a. Sensory deficit c. Sensory overload
b. Sensory deprivation d. Sensory compromise
ANS: C
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The nurse is caring for a patient who is receiving a blood transfusion. One hour into the transfusion, the patient's blood pressure decreases significantly and the patient complains of a severe headache. What is the priority action of the nurse?
a. Check the patient's temperature and administer acetaminophen (Tylenol) if higher than 101 ° F. b. Recheck the patient's blood pressure in 15 minutes after administering pain medication. c. Stop the blood transfusion and administer 0.9% normal saline through new IV tubing. d. Double-check that the transfusion blood type is an exact match to the patient.
In terms of the incidence and classification of diabetes, maternity nurses should know that:
a. Type 1 diabetes is most common. b. Type 2 diabetes often goes undiagnosed. c. Gestational diabetes mellitus (GDM) means that the woman will be receiving in-sulin treatment until 6 weeks after birth. d. Type 1 diabetes may become type 2 during pregnancy.
A first aider who breaks his or her responsibility to a victim by failing to provide the type of care that another person with similar training would provide, commits:
-breach of action -breach of confidence -breach of duty -breach of confidentiality
The circulating nurse in the perioperative area is observing the surgical technologist while applying a sterile gown and gloves to care for a patient having an appendectomy
Which of the following behaviors indicate to the nurse that the procedure has been done correctly? (Select all that apply.) a. Surgical cap and face mask are in place. b. Surgical technologist ties the back of the gown. c. Surgical technologist touches only inside of gown. d. Surgical technologist slips arms into arm holes simultaneously. e. Surgical technologist uses hands covered by sleeves to open gloves. f. Fingers are extended fully into both gloves.