A question that would be appropriate for the E in the HOPE spiritual assessment tool would be?
A) "Do you have a living will?"
B) "Do you want to experience a Catholic mass?"
C) "Do you expect to go to heaven when you die?"
D) "Do you want to end your drug addiction?"
Ans: A
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A busy nurse in the ICU wishes to delegate aspects of respiratory care to an unlicensed assistive personnel (UAP). Which of the following actions can the nurse delegate? (Select all that apply.)
a. Measuring and recording oxygen saturations b. Setting up oxygen delivery and suction equipment c. Suctioning secretions of a client with a long-standing tracheostomy d. Teaching the client how to cough with a tracheostomy e. Verifying that the correct amount of oxygen is being delivered
The nurse determines that a patient has tachycardia. What does this information suggest about the patient's heart rate?
1. greater than 100 beats per minute 2. less than 60 beats per minute 3. 60–90 beats per minute 4. 90 beats per minute
When the patient is in bed, the urinary drainage bag is
A) positioned upright on the floor. B) attached to the frame of the bed. C) attached to the foot of the bed. D) attached to the bottom of the side rail.
A patient with abdominal distention:
A. experiences frequent constipation. B. has a large, bloated abdomen. C. has a fluid retention problem. D. experiences loose stools daily.