The nurse assesses a patient for capillary refill. After the fingernail is compressed for 5 seconds, the refill time should be fewer than:
a. 1 second.
b. 2 seconds.
c. 3 seconds.
d. 4 seconds.
C
Capillary refill should take fewer than 3 seconds.
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The nurse administers desmopressin (DDAVP) to the patient to treat diabetes insipidus. What assessment finding would indicate to the nurse that the desmopressin is producing a therapeutic effect?
A) Decreased urine output B) Decreased water reabsorption C) Increased plasma osmolarity D) Decreased blood volume
A 21-year-old patient is positioned on the OR bed prior to knee surgery. The anesthesiologist administers the anesthetic. What is the next step in the care of this patient?
A) Grounding B) Hanging IV fluids C) Giving blood D) Intubating
In which instance is the performance of nonemergency medical treatment for a minor permissible without parental consent?
1. The state has a family consent doctrine and a twin brother signs the form. 2. The state has a family consent doctrine and an adult sister signs the form. 3. The proposed treatment has only a minor risk of complication. 4. The state has no family consent doctrine and the patients are out of state.
A 70-year-old client being admitted to a skilled nursing unit tells the interviewing nurse that he cannot remember anyone ever suggesting that he receive the pneumococcal vaccine. Which of the following interventions should the nurse implement?
1. During the admission interview, educate the client on the benefits of the vaccination in preventing pneumococcal meningitis. 2. Tell the client that while the risk of developing pneumococcal meningitis is low, he should consider the vaccination. 3. Inform the health care provider that the client needs to be informed regarding vaccination against pneumococcal meningitis. 4. Offer to provide the client with written information regarding the risks and benefits of the pneumococcal vaccine.