Your 86-year-old client, normally of a peaceful nature, is now restless and anxious. The first vital sign you check is:
1. blood pressure.
2. respirations.
3. pulse oximetry.
4. heart rate.
ANS: 3
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One external force that influences health care is financial incentives that reward superior performance. An implication for management in this area would be:
a. an increased diverse workforce c. increased disease prevention b. increased demand for primary care d. redesign of patient delivery
A 70-year-old diabetic patient has just received instruction from a nurse on glucose self-monitoring. He tells the nurse: "I hear that those test strips cost a lot. I am not sure that I can afford anything else
The only health insurance I have is Medicare Parts A and B." The best response by the nurse is: a. "I am sorry, but Medicaid is the only in-surance that covers the cost of diabetic testing supplies." b. "Medicare Part A will cover the cost of the supplies to manage your diabetes." c. "Medicare Part B will cover the cost of the supplies to manage your diabetes." d. "I am sorry, but Medigap insurance is the only insurance that covers the cost of dia-betic testing supplies."
A patient is admitted with chest pain of approximately 2 hours in duration. The CK level was 8 U/L. Which additional order should the nurse expect in order for assessment of this patient to be adequate?
1. Repeat CK level in 48 hours 2. CTnT level 3. CK-MB in the a.m. 4. LDL and HDL levels
A client who is receiving a pitocin (Oxytocin) infusion for the augmentation of labor is experiencing a contraction pattern of more than eight contractions in a 10-minute period. Which intervention would be a priority?
a. Increase the rate of pitocin infusion to help spread out the contraction pattern. b. Place oxygen on the client at 8 to 10 L/min via face mask and turn the client to her left side. c. Stop the pitocin infusion. d. Call the physician to obtain an order for the initiation of magnesium sulfate.