Prior to planning care for a client from a different culture, the nurse realizes that behavior affecting health is primarily affected by:
a. education. c. culture.
b. religion. d. peer pressure.
ANS: C
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The intensive care nurse is responsible for the care of a patient with shock. What cardiac signs or symptoms would suggest to the nurse that the patient may be experiencing acute organ dysfunction? Select all that apply
A) Drop in systolic blood pressure of ?40 mm Hg from baselines B) Hypotension that responds to bolus fluid resuscitation C) Exaggerated response to vasoactive medications D) Serum lactate >4 mmol/L E) Mean arterial pressure (MAP) of ?65 mm Hg
Asking a clinical question is the first step in evidence-based practice. What are the four components of a PICO clinical question?
A) Population, implication, comparison, outcome B) Population, intervention, clinical, outcome C) Population, intervention, comparison, outcome D) Population, implication, clinical, outcome
A nurse is administering a prescribed hypertonic saline enema to a client with constipation. Which of the following is a primary function of a hypertonic saline enema?
A) Promotes bowel movement without irritation effect. B) Lubricates and softens the stool. C) Draws fluid from body tissues into the bowel. D) Causes relaxation of the mucous membranes.
The nurse is making a home care visit to see a patient who was recently diagnosed with diabetes
On the way to the patient's home, the nurse becomes lost in an unfamiliar part of town and sees a group of teenagers hanging around a boarded-up building. Which of the following actions is best for the nurse to take? a. Pull over to the curb to look at a map. b. Seek assistance from one of the teens. c. Drive to a familiar area and call the patient for directions. d. Proceed to the next appointment.