A client has a condition of excessive catecholamine release. Which assessment finding does the nurse correlate with this condition?
a. Decreased blood pressure
b. Increased pulse
c. Decreased respiratory rate
d. No change in vital signs
B
Catecholamines are responsible for the "fight-or-flight" stress response. Activation of the sym-pathetic nervous system can be correlated with tachycardia. The other options are not correlated with excessive catecholamine release.
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The nurse is working in the postanesthesia care unit (PACU) and receives a client from the operating room (OR). What does the nurse assess first?
a. Client's endotracheal tube b. Client's nasogastric tube c. Client's Foley catheter d. Hemovac drain at the incision site
A new director of nursing in a small rural hospital wants to make changes from the traditional model of governance to a shared-governance model
Select the characteristic below that best describes the traditional organizational structure in which a staff nurse is assigned to carry out nursing tasks for clients but is not given the chance to provide input into forming the policies and procedures by which care is delivered or the standards by which care is evaluated: a. Bureaucratic b. Decentralized c. Delegated authority and responsibility d. Delegated responsibility but no authority
When incorporating the five rights of delegation, the right task is used in which situation?
a. The UAP reinforces use of the incentive spirometer to a patient. b. The UAP teaches the patient to use the incentive spirometer. c. The UAP listens to breath sounds to encourage the patient to use the incentive spirometer. d. The UAP is not allowed to work with the patient regarding use of the incentive spirometer.
Which of the following is common in many non-Western cultures and is on the increase in the United States?
1. Ceremonial rituals and rites 2. Cultural assessment 3. Cultural values 4. Cosleeping