Which of the following is the correct rationale for monitoring peripheral oxygenation saturation in the client with encephalitis?
A. It will prevent increased intracranial pressure.
B. It will prevent permanent neurologic disabilities.
C. It will alert the clinician to hypoxia and possible secondary brain damage.
D. It will prevent inadequate amounts of oxygen in the circulating blood from caus-ing brain hypoxia.
C
Early detection of inadequate circulating oxygen can allow the clinician to intervene before hy-poxic brain damage occurs.
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Which of the following would be considered a disadvantage of Assertive Community Treatment (ACT) programs?
1. They are expensive, sophisticated programs. 2. They include small interdisciplinary teams of staff members. 3. They control access to resources such as housing and money. 4. They reduce stress and burnout of individual case managers.
A child with pancytopenia is getting a blood transfusion and it is time to administer her IV antibiotic. The child has only one IV line. What action by the nurse is most appropriate?
A. Administer the antibiotic with the blood. B. Obtain an order for an oral antibiotic. C. Start a new peripheral IV in another site. D. Stop the blood to give the antibiotic.
The nurse is delivering a meal tray to a female Muslim patient. What intervention is most appropriate for this patient?
a. Offering her a ham and cheese sandwich b. Providing her with a male nurse c. Providing her with a female nurse d. Offering her bacon and eggs
The patient has been started on morphine sulfate (MS Contin) for chronic back pain resulting from inoperable disk degeneration. What nursing actions are indicated?
1. Use the prn order of docusate (Dulcolax) routinely every night. 2. Ask the dietary department to add bran cereal to the patient's breakfast trays. 3. Ask the health care provider to write an order for an indwelling urinary catheter. 4. Review the trending of the patient's hemoglobin and hematocrit levels. 5. Check the medical record for a prn order for an antiemetic.