The first priority for a nurse caring for a patient with a tracheostomy is:
A) Helping him communicate
B) Keeping his airway patent
C) Encouraging him to perform activities of daily living
D) Preventing him from developing an infection
Ans: B
Feedback: Maintaining a patent airway is the most basic and most critical human need. All other interventions are important to the patient's well-being, but they aren't as important as having sufficient oxygen to breathe.
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The nurse is examining a newborn male client's genitalia and notes that the opening of the foreskin is so small that it cannot be pulled back at all. What condition would the nurse document on the client record?
A) Prepuce B) Phimosis C) Hypospadias D) Epispadias
A patient with acute hepatic dysfunction demonstrates slow slurred speech and cold clammy skin. Which of the following should the nurse suspect is occurring with this patient?
1. increased ammonia level 2. hypoglycemia 3. cerebral embolism 4. bleeding esophageal varices
All pneumonias are ________ of the lower respiratory tract (bronchi, bronchioles, and alveoli).
Fill in the blank(s) with the appropriate word(s).
Which information indicates the nurse has a correct understanding of the purpose of a patient's medical record?
a. To invoice the nurse for reimbursement b. To protect the patient in case of a mal-practice suit c. To ensure everyone is working toward a common goal of providing safe care d. To contribute to a worldwide databank for trends in health care