The nurse is evaluating a patient being treated for neurogenic shock after a spinal cord injury. Which assessment would the nurse evaluate as patient improvement?
1. Temperature of 97.8°F
2. Heart rate of 70 beats/min
3. Resistance to ventilator-assisted breaths
4. Pink tone to the skin
Answer: 2
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A nurse manager in the intensive care unit (ICU) notes a pattern for a staff nurse who excessively "wastes" narcotics, and the manager suspects the staff nurse may be impaired
Which clinical situation may have contributed to the staff nurse's problem? A) Caring for clients who require IV medications B) Easy access to prescription drugs C) Easy access to client care areas D) Caring for clients who require numerous oral medications
Establishing a therapeutic relationship with a client with a dissociative disorder may be more
difficult for the nurse than establishing a relationship with a psychotic client because the client with a dissociative disorder a. seems haughty, distant, and aloof. b. has symptoms that may seem contrived. c. seems too needy, overwhelming the nurse. d. seeks enormous amounts of secondary gain.
A nurse is uncomfortable discussing such topics as sexual behavior and sexual orientation when counseling clients and avoids this topic with clients. Which of the following is the most likely outcome of this avoidance?
a. Potential risks and risky behaviors will not be identified. b. Transmission of STDs will remain un-changed. c. Clients will develop a trusting relationship with health care providers. d. The nurse will be violating the laws in several states.
Pain and swelling near an IV site may indicate an
A. incompatibility of additives. B. incorrect flow rate. C. improper base fluid. D. infiltration or phlebitis.