A nurse is assessing a sedated patient whose respiratory rate has fallen below 12 respirations per minute. The nurse identifies this condition as
1. Eupnea.
2. Bradypnea.
3. Tachypnea.
4. Apnea.
ANS: 2
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A nurse assesses a client recovering from a cystoscopy. Which assessment findings should alert the nurse to urgently contact the health care provider? (Select all that apply.)
a. Decrease in urine output b. Tolerating oral fluids c. Prescription for metformin d. Blood clots present in the urine e. Burning sensation when urinating
When making a home visit, a nurse is usually expected to focus attention on the ill family member. But whom would the nurse possibly focus on instead?
a. The children who are being affected by the stress of the situation b. The ill family member's primary caregiver c. The spouse of the ill family member d. The neighbors of the family who may be able to help
Anorexia nervosa and bulimia are two eating disorders that are thought to originate from:
a. loss of sociological control. b. early nutritional excesses. c. poor parental monitoring. d. unresolved psychological issues.
The health status of an older patient with liver disease is rapidly deteriorating. There is no documentation on the medical record regarding the patient's care wishes. What should the nurse do to ensure the patient receives care that is desired at the end of life?
1. Ask social services to provide an advance directive for the patient to complete. 2. Talk with the patient regarding what the patient wants after the hospitalization ends. 3. Call a meeting with the patient, family, and primary care physician to discuss care goals. 4. Discuss the patient's dire situation with the family and find out what their wishes might be.