The nurse wants to calculate a patient's mean arterial pressure. Which vital sign measurement should the nurse use to make this calculation?
1. blood pressure
2. temperature
3. respirations
4. heart rate
Correct Answer: 1
The mean arterial pressure can be calculated by multiplying the diastolic blood pressure by 2, adding the systolic pressure, and dividing this total by 3. The patient's blood pressure is needed to make this calculation. Temperature, respirations, and heart rate are not used to calculate mean arterial pressure.
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During auscultation of breath sounds, the nurse should correctly use the stethoscope in which of the following ways?
a. Listening to at least one full respiration in each location b. Listening as the patient inhales and then going to the next site during exhalation c. Instructing the patient to breathe in and out rapidly while listening to the breath sounds d. If the patient is modest, listening to sounds over his or her clothing or hospital gown
After teaching a client receiving NSAID therapy about the drug, the nurse determines that the teaching was successful when the client identifies the need to notify the primary health care provider for which of the following? Select all that apply
A) Skin rash B) Visual disturbances C) Edema D) Chest pain E) Diarrhea
A patient who is educated regarding his or her condition and plan of care is:
a. more likely to refuse the plan of care in lieu of his or her own plan. b. more likely to be compliant with the plan of care. c. likely to complain more when a deviation from the plan is noted. d. likely to demand explanation for each intervention.
Reperfusion therapy achieves the greatest effectiveness when initiated within:
1. 1 hour of symptom onset. 2. 1 hour of hospitalization. 3. 6 hours of symptom onset. 4. 6 hours of hospitalization.