As part of assessment prior to administering a bolus tube feeding, the nurse will:
a. provide oral care.
b. assess vital signs.
c. assess breath sounds.
d. auscultate for bowel sounds.
d
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A nurse is performing an assessment on a newborn. Which vital signs indicate a normal finding for this age group? Select all that apply
a. Pulse of 80–125 a minute b. B/P of systolic 65–95 and diastolic 30–60 c. Temperature of 36.5–37.3 Celsius (axillary) d. Temperature of 36.4–37 Celsius (axillary) e. Respirations of 30–60 a minute
The nurse assesses a client with a heavy menstrual flow for which of the following?
A) Altered kidney function B) Decreased electrolyte levels C) Iron-deficiency anemia D) Depression
For handwashing between clients to be effective, the agent should be in contact with the skin for at least:
a. 5 seconds. c. 30 seconds. b. 10 seconds. d. 60 seconds.
The nurse working with a group of middle-aged females with alcoholism in a substance-abuse treatment program discovers that all of the participants began drinking in their teens or early 20s, and all have engaged in heavy binge drinking
Several of the women have been in treatment before. When the nurse asks one of these clients about any family history of problems with alcohol and other drugs, she is likely to respond with which of the following statements? a. "There are no other people in my family with this problem." b. "Only one or two distant relatives have the same problem." c. "My grandfather, father, uncle, and cousins also have problems." d. "I think I got it from my mom."