Which nursing intervention takes priority for a client admitted with severe metabolic acidosis?
A. Perform medication reconciliation.
B. Assess the client's strength in the extremities.
C. Obtain a diet history for the past 3 days.
D. Initiate cardiac monitoring.
Ans: D. Initiate cardiac monitoring.
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Which of the following individuals would be considered to be at risk for the development of edema? Select all that apply
A) An 81-year-old man with right-sided heart failure and hypothyroidism B) A 60-year-old obese female with a diagnosis of poorly controlled diabetes mellitus C) A 34-year-old industrial worker who has suffered extensive burns in a job-related accident D) A 77-year-old woman who has an active gastrointestinal bleed and consequent anemia E) A 22-year-old female with hypoalbuminemia secondary to malnutrition and anorexia nervosa
The nurse is making an occupied bed. Arrange the following steps in the order the nurse should perform them
A. Position the patient laterally near the side rail farthest from you (that side rail is up); roll the soiled linens under him. B. Lower the side rail on the side of the bed you are working on. C. Raise the side rail on the side of the bed you are working on. D. After placing clean linens and tucking them under the soiled linens, roll the patient over the "hump" and position him facing you on the near side of the bed.
A nurse is admitting a new patient to her unit. The nurse has asked many open-ended questions while gathering information about the new patient. What is the nurse doing?
A) Interpreting what the patient has said B) Evaluating what the patient has said C) Assessing what the patient has said D) Validating what the patient has said
A 41-week gestational age infant weighs 3500 grams and has been admitted to the neonatal intensive care unit because of meconium aspiration syndrome and related complications
The pediatric nurse assesses his breath sounds frequently to ensure appropriate endotracheal tube placement. The nurse knows that the patient is at risk for: A) pneumothorax and pneumonia. B) pneumomediastinum and pneumonia. C) pneumothorax and pneumomediastinum. D) pneumothorax and respiratory distress syndrome.