Which assessment findings for a one-hour-old infant should the nurse report?
A) Temperature of 97.6°F
B) Heart rate 158
C) Respiratory rate 42
D) Blood sugar 42 mg/dL
Ans: D
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A 55-year-old male patient has high cholesterol and triglycerides. He is at risk for infection related to:
A) Protein-calorie deficiency B) Regulation of cellular proliferation C) Excess of trace elements D) Excess fatty acids
The nurse calls a patient at home with the laboratory results from his visit of earlier in the day. Based on a review of these results, what does the nurse expect the healthcare provider to advise?
1. Maintain the same daily dose of heparin. 2. Maintain the same daily dose of warfarin (Coumadin). 3. Increase the dose of warfarin (Coumadin) according to the previous instructions by the physician. 4. Stop taking the warfarin (Coumadin) until the next clinic appointment.
Upon auscultation of the chest, the nurse reports to the preceptor what is heard. What statement should cause the preceptor to be most concerned?
1. "I heard crackles earlier, but now I am not able to hear anything." 2. "I hear wheezing in the right lobes, but clear on the left." 3. "There are coarse crackles that clear with coughing." 4. "The patient was clear, but now there are scattered wheezes bilaterally."
A patient is given a nursing diagnosis of activity intolerance related to pain and claudication with ambulation. What would be an appropriate intervention for this patient?
A) Assess for pain, pulses, pallor, paresthesia, and paralysis B) Assess dorsalis pedis and posterior tibial pulse bilaterally C) Gradually increase activity D) Assess with a Doppler and notify the physician