A patient admitted with an elevated ST-segment myocardial infarction on oxygen per nasal cannula for his diagnosed influenza continues to experience shortness of breath and has no ECG changes. What is the next best action by the RN is best?
a. Call the patient's wife to have her sit with him to calm him.
b. Ask the UAP to obtain a blood glucose level.
c. Call the Rapid Response Team.
d. Ask the charge nurse to check on the other patients.
C
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A This does not address the cause of the change in condition.
B This does not address the cause of the change in condition.
C The Rapid Response Team (RRT) should be called to assess the patient's condi-tion.
D This does not address the cause of the change in condition.
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A nurse understands that aspirin would be contraindicated in a child with which of the following?
A) Liver dysfunction B) High blood pressure C) Diabetes D) Chickenpox
The nurse is caring for a client with a suspected autoimmune disorder. What concept related to the client's condition does the nurse recognize is true? Select all that apply.
A) It is necessary to determine that immunologic findings do not have another cause. B) Diagnosis is currently based on serologic testing and clinical findings. C) Each method of serologic testing involves either concentrating or diluting the client's serum. D) Genetic testing is considered the most reliable way to diagnose autoimmune disorders. E) Serologic testing reveals autoantibodies directed against cellular components.
The nurse is assessing a family caregiver for signs of role stress. Which assessment findings are consistent with this condition? (Select all that apply.)
a. Denial b. Anger c. Social withdrawal d. Irritability e. Restfulness
Which of the following expected outcomes is correct for a client with the nursing diagnosis Self-Care Deficit related to cognitive impairment?
A) The nurse will stress the importance of adequate fluid intake. B) The client, with supervision, will brush her teeth. C) The client will eliminate safety hazards in her environment. D) The client will be able to name the staff that works on the day shift.