The nurse is applying electrodes to the patient's chest for use in continuous cardiac rhythm monitoring. When applying these electrodes, what placement will the nurse use to ensure maximum accuracy?
A) In the fold beneath the breast tissue
B) Directly over the clavicle
C) In the intercostal spaces
D) Over the clavicle/humerus joint
C
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The nurse knows that a urinary catheter is added to the instrument table if a for-ceps-assisted birth is anticipated. The correct rationale for this intervention is:
a. Spontaneous release of urine might contaminate the sterile field. b. An empty bladder provides more room in the pelvis. c. A sterile urine specimen is needed preoperatively. d. A Foley catheter prevents the membranes from spontaneously rupturing.
To help conserve energy for the severely anemic patient, the nurse will: (Select all that apply.)
a. manage care so that the patient can have frequent rest periods. b. assist with activities of daily living. c. place personal care items close at hand. d. arrange for small meals with between-meal snacks. e. ensure that exercise sessions are planned during the morning.
The client has been suffering from a terminal illness for 5 years. In the past few months, the client's physical condition has been rapidly deteriorating, and the family caregiver has become exhausted providing care
What nursing diagnosis would be appropriate for this family? 1. Compromised family coping 2. Disabled family coping 3. Interrupted family processes 4. Readiness for enhanced family coping
Assessment of a patient reveals that the area directly under the heating pad is slightly red. How should the nurse respond?
a. Continue the therapy. b. Apply a cold compress. c. Reduce the amount of heat. d. Remove the pad and reassess in 5 minutes.