Failure to see that a patient has food and water is a form of abuse.
Answer the following statement true (T) or false (F)
True
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A nurse is caring for a client on the medical stepdown unit. The following data are related to this client:
Subjective Information Laboratory Analysis Physical Assessment Shortness of breath for 20 minutes Feels frightened "Can't catch my breath" pH: 7.12 PaCO2: 28 mm Hg PaO2: 58 mm Hg SaO2: 88% Pulse: 120 beats/min Respiratory rate: 34 breaths/min Blood pressure 158/92 mm Hg Lungs have crackles What action by the nurse is most appropriate? a. Call respiratory therapy for a breathing treatment. b. Facilitate a STAT pulmonary angiography. c. Prepare for immediate endotracheal intubation. d. Prepare to administer intravenous anticoagulants.
The nurse is admitting a client to the medical unit who was brought to the emergency department by a neighbor. The client states, "I ran out of my medication last week. I don't have any family or close friends to help me."
Upon assessment, the nurse notes the following findings: oxygen saturation of 93% on room air, breath sounds reveal crackles bilateral bases, P 110 bpm, R 22 breaths per min, BP 110/60 mmHg. Which is the priority psychosocial nursing diagnosis for this client? A) Social Isolation B) Impaired Gas Exchange C) Noncompliance D) Interrupted Family Process
The activity of which specific immune system cell must be suppressed to reduce transplant rejection episodes?
a. Neutrophils b. Macrophages c. T lymphocytes d. B lymphocytes
The nurse is caring for a battered woman in the emergency department. Nursing interventions used in the care include: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Letting the woman tell her story at her own pace. 2. Anticipating ambivalence toward the batterer. 3. Acknowledging the woman's feelings as reasonable. 4. Letting the woman figure out how to identify specific problems on her own. 5. Allowing the family to stay with the woman during the interview.