While caring for a patient with pneumonia, a nurse notes that the patient's sputum is greenish and very thick. The highest priority in the patient's plan of care is to
1. Encourage the use of the incentive spirometer.
2. Provide pain medication every 4 hours as ordered.
3. Provide a bedside commode.
4. Encourage the patient to increase oral intake.
ANS: 4
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During the second stage of labor, a nurse encourages effective pushing by the woman. What directions from the nurse best achieve this?
A. "Hold your breath and push as hard as you can." B. "Now that you are fully dilated, start pushing." C. "Push when you feel the urge and breathe between attempts." D. "When you feel a contraction, push with your mouth closed."
What approach should the nurse take to assess the lung fields of a patient who is in a recumbent position?
A) Inform that physician that the patient is in a recumbent position and anticipate an order for a portable chest x-ray. B) Turn the patient to assess all lung fields so that dependent areas can be assessed for breath sounds. C) Avoid turning the patient, and assess the accessible breath sounds from the anterior chest wall. D) Obtain a pulse oximetry reading and if the reading is low, reposition the patient and auscultate breath sounds.
A client has a continuous IV infusing at the rate of 25 gtt/min. The drop factor is 15 gtt/mL. How many mL of fluid will the patient receive in 3 hours?
1. 100 mL 2. 200 mL 3. 300 mL 4. 400 mL
Content validity is established when researchers know that the instrument measures the ____________ it was intended to measure
a. statistics b. rankings c. concept d. ratio