A nurse assesses a client after a thoracentesis. Which assessment finding warrants immediate action?
a. The client rates pain as a 5/10 at the site of the procedure.
b. A small amount of drainage from the site is noted.
c. Pulse oximetry is 93% on 2 liters of oxygen.
d. The trachea is deviated toward the opposite side of the neck.
ANS: D
A deviated trachea is a manifestation of a tension pneumothorax, which is a medical emergency. The other findings are normal or near normal.
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While reviewing discharge instructions, a patient asks the nurse why the oral dose of the opioid is so much higher than the IV dose was. Select the nurse's best response
a. "When patients go home, they need higher doses of medication." b. "The oral form of the drug passes through the liver, and a lot is metabolized before it can achieve the effect." c. "When the physician converted the dosages, there was an error in calculation." d. "The doses should be the same. The physician must think that your pain is not well controlled."
A high level of reliability:
A. ensures high validity. B. has no effect on validity. C. is necessary, but not sufficient for validity. D. has a slight effect on validity.
The patient at 38 weeks' gestation has been diagnosed with oligohydramnios. Which statement indicates that teaching about the condition has been effective?
1. "My gestational diabetes might have caused this problem to develop." 2. "When I go into labor, I should come to the hospital right away." 3. "This problem is common, and will likely occur with my next pregnancy." 4. "Women with this condition usually go into labor after their due date."
Which of the following discipline or disciplines may be used in the design of a nursing theory?
A) Psychology B) Physical biology C) Sociology D) Psychology, physical biology, and sociology