D.M.'s blood alcohol concentration (BAC) result is 0.06 mg%. Interpret this result. Does this
level reflect legal intoxication?
What will be an ideal response?
A BAC of 0.06% causes mildly impaired judgment in most people, causing them to be less able
to make rational decisions. They are not able to judge their capabilities normally (e.g., driving, or
deciding to play touch football with an injured ankle). A BAC of 0.1% is considered legal intoxication
in most states (some states consider a BAC of 0.8% to indicate legal intoxication).
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The nurse is planning discharge teaching for a patient with a newly inserted permanent pacemaker. What is the priority teaching point for this patient?
A) Start lifting the arm above the shoulder right away to prevent chest wall adhesion. B) Avoid cooking with a microwave oven. C) Avoid exposure to high-voltage electrical generators. D) Avoid walking through store and library antitheft devices.
An older adult client with urosepsis has become nonresponsive. The nurse is to identify the appropriate person to sign the consent forms for an invasive medical procedure. Which of the following actions by the nurse is appropriate?
A) Find the older adult's family member to sign the consent. B) Inform the health care provider that no consent can be obtained. C) Move forward with guardianship as the client is incompetent. D) Review the chart for a health care power of attorney.
List four findings indicating that the patient's breathing is adequate.
What will be an ideal response?
Which nursing intervention is appropriate to assess for neurovascular competency in a child who fell off the monkey bars at school and hurt his arm?
a. The degree of motion and ability to position the extremity. b. The length, diameter, and shape of the extremity. c. The amount of swelling noted in the extremity and pain intensity. d. The skin color, temperature, movement, sensation, and capillary refill of the extremity.