A patient is brought to the unit with mediastinal chest tubes with no fluctuation in the water seal chamber; arterial blood gas results reveal pH, 7.55; CO2, 55; HCO, 28 mEq/L, and O2, 98%
Carotid artery pulsation is visible with the head of the bed elevated and the use of tangential lighting. The first action of the nurse is to:
The above question represents which level of Bloom's taxonomy?
a. Knowledge
b. Comprehension
c. Application
d. Analysis
ANS: D
Correct: In analysis the candidate must make a judgment call after determining relationships among data.
Incorrect:
a. Knowledge requires simply recalling information and does not require understanding or judgment.
b. In comprehension the information is not restated but instead requires the candidate to make a judgment.
c. In application the candidate is not being asked to apply information in a new context.
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A weak, rapid pulse; profuse perspiration; and slower pupil response to light are indications of
a. An impending heart attack b. Impending diabetic coma c. Impending death d. Impending cerebrovascular accident
A patient tells the nurse that she hopes she does not develop rheumatoid arthritis because her mother suffers so much pain with the disorder. What should the nurse respond?
1. "Autoimmune disorders are genetically linked." 2. "The only way you will develop this disorder is if you become highly stressed." 3. "The amount of estrogen you have in your body will prevent the onset of the disorder." 4. "Limit your physical activity to prevent the onset of the disorder."
A nurse caring for a client has been ordered to measure the client's urinary output. The
client does not have a urinary catheter. What might the nurse use to measure the urinary output? A) Urinometer B) Specimen hat C) Disinfectant swab D) Tongue blades
When the home care nurse visits a 78-year-old female patient who is recently widowed and finds that the home is cluttered with trash and the patient appears sad and disheveled,
the nurse should assess the patient for symptoms of A) Fatigue B) Presbyopia C) Drug overdose D) Depression