If the client has a peripheral pulse that is difficult to palpate, the nurse should:
A. Call the physician
B. Use a stethoscope
C. Assess other areas instead
D. Obtain an amplifying instrument
D
D, B, and C. If the dorsalis pedis pulse is difficult to palpate or it is not palpable, use a Doppler instrument over the pulse site: Doppler amplifies sounds, allowing nurse to hear low-velocity blood flow through peripheral arteries.
A. Report to nurse in charge or physician acute pain or sudden muscle weakness, which may be indicative of condition requiring immediate treatment.
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The nurse administers morphine for pain. When evaluating the effectiveness of the analgesic, the client says, "This time I didn't get the relief I've gotten before." The nurse concludes that the client is exhibiting which of the following?
1. Pain tolerance 2. Pain threshold 3. Addiction 4. Drug tolerance
A client is diagnosed with bipolar disorder: manic episode. Which nursing intervention would be implemented to achieve the outcome of "Client will gain 2 lb by the end of the week?"
1. Provide client with high-calorie finger foods throughout the day. 2. Accompany client to cafeteria to encourage adequate dietary consumption. 3. Initiate total parenteral nutrition to meet dietary needs. 4. Teach the importance of a varied diet to meet nutritional needs.
The nurse knows that effective communication with children and their parents is critical to providing atraumatic quality nursing care. Which of the following statements accurately describes the communication patterns of children?
A) Communication patterns are similar from one child to the next. B) Children often use more words than adults to describe their fears. C) Children rely more on nonverbal communication and silence. D) Parents more often require affective communication rather than neutral communication.
The nurse is reviewing with the client the use of the emergency signal in the client's bathroom. What instructions should the nurse review with the client about the use of the emergency signal?
1 . Causes a light to flash or a buzzer to sound at a central station 2 . Use when experiencing difficult while in the bathroom 3 . Staff will respond to the signal within 5 minutes 4 . Used by staff to request immediate assistance A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4