An ICU nurse is caring for a patient in shock. To obtain an accurate set of vital signs, the nurse uses a Doppler to obtain pulse and blood pressure. What would be the best technique for the use of the Doppler on this patient? (Mark all that apply
)
A) Hold the probe firmly against the skin at the expected pulse site
B) Hold the probe perpendicular to the skin at the expected pulse site
C) Use the gel that is on the cart
D) Mark the location of the loudest sound
E) Move the probe slowly over the area of the expected pulse site
B, D, E
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The nurse is caring for a client who is experiencing a systemic infection after a total knee replacement. Which diagnostic tests will be used to validate the presence of this infection?
Select all that apply. A) Serum electrolyte levels B) Urinalysis C) White blood cell differential D) White blood cell count E) Wound culture
Which findings should the nurse expect in patient with second-degree frostbite in the fingers?
A) Hard white plaque on the fingertips B) Superficial clear fluid-filled blisters C) Deep purple fluid-filled blisters D) No skin changes.
Which observation indicates to the nurse that a family is not functioning in a healthy way?
A) The family pays cash for health care. B) The father comforts his crying daughter. C) The mother states, "This family couldn't function without me.". D) The father does not share his concerns so his wife will not worry about them.
A pregnant woman undergoes maternal serum alpha-fetoprotein (MSAFP) testing at 16 to 18 weeks' gestation. Which of the following would the nurse suspect if the woman's level is decreased?
A) Down syndrome B) Sickle-cell anemia C) Cardiac defects D) Open neural tube defect