A client develops shortness of breath while a nurse is conducting an assessment. The nurse should:
A. Call the physician
B. Assess the thorax and lungs first
C. Postpone the assessment until a later time
D. Continue to complete the head to toe sequence
A
A, B, C, and D. Respond immediately to identified need (repositioning, oxygen, or medication as appropriate). Obtain vital signs. Notify physician.
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a. Place the patient in the high Fowler's position. b. Give the patient fluids to prevent shock. c. Replace the dressing with sterile fluffy pads. d. Apply a warm, moist normal saline sterile dressing.
The use of feeding gastrostomy tubes at the end of life in Alzheimer's disease patients has been associated with
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A nurse is assessing a newborn that was just born. Which newborn finding will cause the nurse to intervene immediately?
a. Molding b. A lack of reflexes c. Cyanotic hands and feet d. A soft, protuberant abdomen
A patient has a reactive NST and negative CST. Select the appropriate followup.
A. Prepare patient for delivery B. Repeat in 24 hours C. Repeat in one week