After increasing fluid intake and administering stool softeners for a patient complaining of constipation, a nurse calls the physician to obtain an order to administer an enema. This is an example of a(n)
1. Dependent intervention.
2. Indirect intervention.
3. Independent intervention.
4. Collaborative intervention.
ANS: 1
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A nurse is caring for an unconscious patient. What objective assessments does the nurse use to help evaluate pain in this patient? (Select all that apply.)
a. Agitation b. Restlessness c. Sighing d. Vital signs e. Shivering
A nurse caring for a client with a pulmonary embolism expects to find which diagnostic result?
A) Patchy infiltrates on chest x-ray B) Metabolic alkalosis on arterial blood gas C) Elevated CO2 level found on end-tidal carbon dioxide monitor D) Tachycardia and nonspecific T-wave changes on EKG
Temperature is only expressed using the Fahrenheit scale
Indicate whether the statement is true or false
The provider wants to remove the client's NGT with low suction to discharge the client. Which does the nurse implement to determine whether the client is ready for discharge?
1. Assess the client for self-care at home. 2. Aspirate the gastric secretions for 2 hours. 3. Offer food and fluid before tube removal. 4. Clamp tube for 4 hours and reassess client.