The evening charge nurse on a skill nursing unit in a long term care facility is having trouble with one of her nursing assistants sleeping on the job. What should the charge nurse's first action be?
a. report the incident to the nurse manager
b. talk to the nursing assistant involved
c. discuss it with the day charge nurse
d. report the nursing assistant to the director of nursing
B
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Inspection of the peripheral vascular system should include
a. Assessing for edema using a tape measure b. Observing the color and temperature of the skin c. Noticing the hairiness or lack of hair on the extremities d. All of the above
The patient, recently diagnosed with HIV, is waiting for results of his lab work to determine his T cell count and says to the nurse, "What exactly is a T cell?" What is the nurse's best response?
A) "T cells are monocytes, which are a type of white blood cell that helps to fight off infections and other foreign bodies that enter the body." B) "T cells are neutrophils, which are a type of white blood cell that helps to fight off infections and other foreign bodies that enter the body." C) "T cells are lymphocytes, which are a type of white blood cell that helps to fight off infections and other foreign bodies that enter the body." D) "T cells are basophils, which are a type of white blood cell that helps to fight off infections and other foreign bodies that enter the body."
A client is experiencing health problems related to alterations in adrenal medulla function. On which areas should the nurse focus when assessing this client?
Select all that apply. A) Heart rate B) Weight C) Respiratory rate D) Skin integrity E) Blood pressure
The nurse is reviewing the contents of a patient's medical record. Based upon this information, what health problem should the nurse suspect is the cause of the patient's symptoms?
1. mumps 2. scarlet fever 3. pneumonia 4. orchitis