The nurse is completing teaching to a patient with a new diagnosis of Bell palsy. What should be a priority focus of this teaching?
A. Pain management
B. Eye care
C. Promoting effective swallowing
D. Improving muscle strength in the upper extremity
Answer: B
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A home care patient takes sodium bicarbonate on a daily basis for symptoms of heartburn and indigestion. Which of the following acid-base imbalances may be noted in this patient by the health care provider?
a. Respiratory acidosis b. Respiratory alkalosis c. Metabolic acidosis d. Metabolic alkalosis
Critical care nurses can best enhance the principle of autonomy by
a. presenting only the information to prevent relapse in a patient. b. assisting with only tasks that cannot be done by the patient. c. providing the patient with all of the information and facts. d. guiding the patient toward the best choices for care.
When a patient abducts an arm and the ipsilateral scapula becomes more prominent (winged), this usually means that:
a. there has been an injury to the nerve of the anterior serratus muscle. b. one of the clavicles has been fractured. c. there is a unilateral trapezius muscle se-paration. d. one shoulder is dislocated.
Five minutes after delivery, the neonate's body is pink with blue extremities. The heart rate is 150. The infant demonstrates a vigorous cry and good respiratory effort, and is actively moving
His elbows and hips are flexed, with his knees positioned up toward his abdomen. When the nurse flicks the soles of his feet, the neonate withdraws his leg. Which nursing interventions are appropriate? 1. Stimulation and resuscitative efforts 2. Oxygen via face mask and endotracheal suctioning 3. Rescue breathing and stimulation 4. Nasopharyngeal suctioning and blow-by oxygen