The nurse should administer an analgesic to an unconscious patient after observing which sign(s)? (Select all that apply.)
a. Increased heart rate from 82 to 94
b. Decreased systolic blood pressure
c. Increased muscle tension
d. Perspiration on upper lip
e. Facial grimacing
A, C, D, E
Pain indicators in the unconscious patient might include increased heart rate, blood pressure, and muscle tension; diaphoresis; and grimacing.
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One advantage to primary nursing is that:
a. the approach to care is holistic c. RNs provide all the care b. there is a higher RN skill mix d. nurse patient ratios are realistic
Which is the most effective way to reduce SPAM (unsolicited e-messages) in the workplace?
1. Use "challenge response software" to request confirmation that the e-mail was sent by a person. 2. Allow the e-mail application program to filter all mail and send unwanted messages to the trash. 3. Send and receive all company e-mail from a single e-mail account. 4. Reply to each message and request to be taken off the mailing list.
An adolescent girl tells the nurse that she is very suicidal. The nurse asks her if she has a specific plan. How should asking about a specific plan be viewed?
a. Not a critical part of the assessment b. An appropriate part of the assessment c. Suggesting that adolescent needs a plan d. Encouraging adolescent to devise a plan
The nurse assigns client care to a nursing assistant. Which wound care tasks should the nurse assign to the nursing assistant?
1. Apply the hydrocolloid dressing. 2. Assess dimensions of the wound. 3. Report visible drainage on dressing. 4. Change first postoperative dressing.