What assessment finding would indicate to the healthcare professional that the patient is no longer in burn shock?
a. Blood pressure 100/58 mmHg
b. Pulse rate 98 beats/min
c. Respiratory rate 24 breaths/min
d. Urine output 35 mL/hour for 4 hours
Ans: d. Urine output 35 mL/hour for 4 hours
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When a client has thoughts of hurting or killing him- or herself but may or may not plan to act on these thoughts, the client is considered to be:
a. actively suicidal c. homicidal b. experiencing suicidal ideations d. manic-depressive
A resident has chronic renal failure. Which of the following would you want to include in the person's plan of care?
a. Measures to encourage fluids b. Measures to prevent fluid loss c. Measures to prevent burns d. Measures to prevent pressure ulcers
When giving daily hair care, remove tangles by
A. cutting them out. B. brushing through them. C. combing from the scalp to the ends. D. supporting and combing hair from the end to the scalp.
A patient has informed the home health nurse that she has recently noticed distortions when she looks at the Amsler grid that she has mounted on her refrigerator. What is the nurse's most appropriate action?
A) Reassure the patient that this is an age-related change in vision. B) Arrange for the patient to have her visual acuity assessed. C) Arrange for the patient to be assessed for macular degeneration. D) Facilitate tonometry testing.