Which finding by the nurse assessing a potential organ donor would indicate that the patient did not meet the criteria for donation based on brain death?
1. Apnea
2. Decorticate posturing
3. Unresponsiveness
4. Absence of brainstem reflexes
2
Rationale 1: Apnea is a cardinal sign of brain death.
Rationale 2: Decorticate posturing is an indication of increased intracranial pressure, but not a cardinal sign of brain death.
Rationale 3: Unresponsiveness is a cardinal sign of brain death.
Rationale 4: Absence of brainstem reflexes is a cardinal sign of brain death.
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Which of the following skin conditions frequently heralds an anaphylactic reaction?
A. Contact dermatitis B. Eczema C. Urticaria D. Erythema multiforme
A 24-year-old client who had a plaster cast applied to the right arm 3 weeks ago presents to the clinic
In reviewing the client's laboratory data, the nurse notes that the client's erythro-cyte sedimentation rate (ESR) has increased from 15 mm/hr to 25 mm/hr. What would be the nurse's best action? A. Document the finding as the only action. B. Have the cast reapplied. C. Notify the health care provider. D. Obtain an order for a repeat ESR in 2 weeks.
In the theory of self-transcendence, the nursing perspective emphasizes a potential for healing independent of biophysical health and medical cure
Indicate whether this statement is true or false.
On the 3rd day postpartum, a client who is not breastfeeding experiences engorgement. To relieve her discomfort, the nurse should encourage the client to do which of the following?
1. Remove her bra 2. Apply heat to the breasts 3. Apply cold packs to the breasts 4. Use a breast pump to release the milk