A patient complains of nasal drainage and sinus headache. The nurse suspects a nasal infection and anticipates observing which finding during examination?
a. Foul-smelling drainage
b. Purulent green-yellow drainage
c. Bloody drainage
d. Watery drainage
ANS: B
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Your patient is a 44-year-old male who has been in jail for three days after being arrested for driving while intoxicated. He now presents with diaphoresis, anxiety, hallucinations, insomnia, and tremors. HR = 142, BP = 132/94, RR = 34, blood glucose = 85 mg/dL. Which of the following is appropriate?
A) Thiamine 100 mg IV. B) Narcan 2 mg IV. C) 25 gm 50% dextrose IV. D) IV of NS KVO.
The nurse needs to access the Cumulative Index of Nursing and Allied Health Literature (CINAHL). Where should the nurse go to access this database?
Select all that apply. 1. Public library 2. Medical school library 3. Library within the hospital 4. Public school district library 5. Library at the local university
A nurse is teaching a client about how to complete a wound dressing change. Which of the fol-lowing conditions must be met before learning will occur?
a. Must be able to memorize the instructions, relay this information to a partner, and demonstrate the dressing change b. Must master the dressing change at the time it is taught, repeat the demonstration for the nurse, and teach another person c. Must be able to speak the language of the nurse, have time to practice the dressing change, and master the dressing change in a short time d. Must have the necessary ability, a sensory image of how to carry out the dressing change, and an opportunity to practice the dressing change
The nursing care plan may be made up of multiple diagnostic statements. What is the best description for the nurse to use in describing the nursing diagnosis to the student nurse?
A) Identification of the nursing care problem based on analysis of data B) Collection of data related to client's condition C) Formulation of necessary arrangements for client care D) Measurement of effectiveness of nursing care