A client with cancer is experiencing difficulty swallowing. When teaching the client to make the process a conscious action, which of the following would the nurse instruct the client to do first?
1. Exhale
2. Inhale
3. Tilt head to the side
4. Swallow
2
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A client admitted for treatment of trauma sustained in a fall while intoxicated believes bugs are
crawling on the bed. The client is anxious, agitated, and diaphoretic. A nursing diagnosis of high priority that should be developed is a. ineffective health maintenance. b. ineffective coping. c. ineffective denial. d. risk for injury.
When changing a diaper, the nurse observes that a 2-day-old infant has passed a green-black, tarry stool. What should the nurse do?
a. Notify the provider immediately. b. Do nothing; this is normal. c. Give the baby sterile water until the mother's milk comes in. d. Apply a skin barrier cream to the buttocks to prevent irritation.
A nurse is providing ongoing postoperative care to a patient who has had knee surgery. The nurse assesses the dressing and finds it saturated with blood. The patient is restless and has a rapid pulse. What should the nurse do next?
A) Document the data and apply a new dressing. B) Apply a pressure dressing and report findings. C) Reassure the family that this is a common problem. D) Make assessments every 15 minutes for 4 hours.
What is the purpose of the National Response Framework?
a. Create a new branch of government that deals with bioterrorism b. Establish a way for the Red Cross to carry out its mission c. Develop a nationwide all-hazards approach to domestic incident management d. Extend presidential power to act quickly upon weapons of mass destruction