When the nurse educator is evaluating the skills of a new registered nurse (RN) caring for patients experiencing shock, which action by the new RN indicates a need for more education?
a. Placing the pulse oximeter on the ear for a patient with septic shock
b. Keeping the head of the bed flat for a patient with hypovolemic shock
c. Increasing the nitroprusside (Nipride) infusion rate for a patient with a high SVR
d. Maintaining the room temperature at 66° to 68° F for a patient with neurogenic shock
ANS: D
Patients with neurogenic shock may have poikilothermia. The room temperature should be kept warm to avoid hypothermia. The other actions by the new RN are appropriate.
You might also like to view...
The nurse notes mucous shreds in the urine of a client with an ileal diversion. The nurse's priority action is to:
1. Document the finding. 2. Notify the supervisor. 3. Ensure that the client is ordered an antibiotic. 4. Encourage the client to increase fluids.
The nurse has to administer a bitter tasting oral medication to a 5-year-old patient. What is the best strategy to administer this drug to the child?
A) Before administering the medication, offer flavored ice on a stick. B) Administer the medication in a cup of milk. C) Have the child keep nostrils open and drink the medication through a straw. D) Use a specially manufactured medication nipple or pacifier.
When assessing a client with a somatoform disorder, how would the mental health nurse assess the client's secondary gains?
A) By asking questions concerning the type and amount of medications the client is taking B) By asking questions to elicit any pattern of repeated complaints by taking a history of current and past health status C) By asking questions concerning any previous work or activity the client used to be able to do that he or she is unable to perform as a result of the symptoms D) By asking questions concerning physical complaints
A nurse is preparing to provide care to a patient from a different culture. Which question is most appropriate when assessing the patient's reason for migration?
1) "How would you describe the typical climate where you are from?" 2) "What value does your culture place in education?" 3) "Why did you decide to immigrate to the United States?" 4) "What are common occupations for people of your culture?"