The nurse is evaluating the signs and symptoms of a patient in shock. Cardiovascular signs include:
1. bounding pulse, decreased respirations, and blood pressure.
2. bounding pulse and shallow respirations, with a greatly increased blood pressure.
3. thready pulse and shallow respirations, with a decreased blood pressure.
4. thready pulse and irregular respirations with an increased blood pressure.
3
When the heart as a pump fails, the pulse is weak, the respirations slow down to meet the needs and, with less volume being pumped, the blood pressure falls.
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The nurse is applying a warm moist compress to the client's right calf. Prior to putting the compress in place, which action by the nurse is the most appropriate?
1. Turn the client onto the left side. 2. Encourage the client to toilet and perform any actions that would require removal of the compress. 3. Turn the client onto the right side. 4. Elevate the head of the bed.
What is important about long-term coaching for career development?
A) Should occur annually at performance appraisal reviews B) Should focus on employee performance deficits C) Requires the same intensity as a mentoring relationship D) Occurs over the entire employment tenure of an employee
The Director of Nursing (DON) at a large urban hospital is tasked with increasing the hospital's profits and improving quality. What action by the DON is best?
a. Engage in monopsony with regional hospitals. b. Hire more nonprofessional ancillary staff. c. Implement policies to prevent hospital-acquired infections. d. Purchase capital budget items only when necessary.
The nurse is caring for a newborn who was born after a long labor. Because of the length of labor, the nurse is alert for signs of intracranial hemorrhage, which would include: (Select all that apply.)
a. Forceful vomiting b. High-pitched shrill cry c. Strabismus d. Inability to move normally e. Equal pupils