While providing postmortem care to a patient who has died the patient elicits a respiratory sound when turned. What should the nurse do?
1. Check for a pulse.
2. Reposition the airway.
3. Continue with the postmortem care.
4. Report to the physician the patient is still breathing.
3
Rationale: Checking for a pulse is not necessary in a deceased patient.
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Infants are at risk for hypothermia, bradycardia, and acidosis because they
a. are totally dependent upon breathing through their noses. b. cannot shiver when exposed to lowered temperatures. c. have a cardiac output of only 1 L per minute, whereas their circulating blood volume is around 85 cc/kg. d. have a high ratio of body surface area to body surface mass.
The nurse is conducting a health history interview for a toddler-age patient who is unable to verbalize answers to questions. Which action by the nurse is appropriate in this situation?
1) Asking the parent about eating habits 2) Asking the parent about attention span 3) Asking the parent about sleep patterns 4) All of the above.
A patient admitted with a diffuse axonal injury has a systemic blood pressure (BP) of 106/52 mm Hg and an intracranial pressure (ICP) of 14 mm Hg. Which action should the nurse take first?
a. Document the BP and ICP in the patient's record. b. Report the BP and ICP to the health care provider. c. Elevate the head of the patient's bed to 60 degrees. d. Continue to monitor the patient's vital signs and ICP.
In quantitative analysis the middle score or the score where 50% of the scores are above it and 50% are below is known as the:
a. Mean b. Median c. Mode d. Normal distribution