The nurse has assessed the patient to have a blood pressure of 140/90, an apical pulse of 82, and a radial pulse of 76 . The nurse records a pulse pressure of:
a. 6.
b. 56.
c. 82.
d. 90.
B
The pulse pressure is the difference between the systolic and diastolic pressures. Pulse deficit is the difference between the radial and the brachial pulses.
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The most appropriate intervention by the nurse to decrease the pain of an abdominal incision while coughing would be to:
a. Support the surgical site with a pillow b. Position patient in a side-lying position c. Medicate with prescribed narcotic before coughing d. Ask the patient to cross arms over the chest to increase force of cough
A nurse manager is planning a performance appraisal of an employee who has a number of performance deficiencies. What is the best approach to the performance appraisal of this employee?
A) Tell the employee that he or she is not performing well and ask the employee where improvement is needed. B) Prepare a list of the employee's deficiencies and give him or her time to look it over before asking for a response. C) Recognize the employee's strengths, focus on one or two key deficiencies, and create a long-term coaching plan. D) Tell the employee that he or she is liked as a person but is not meeting the requirements for the job and will need to brush up on skills during the next year.
The nurse is caring for a blind patient. When the nurse enters the patient's room, which action is most appropriate?
a. Touch the patient before speaking to allow her to locate the nurse's position. b. Speak to the patient by name when enter-ing the room to avoid startling her. c. Speak to the patient only when at bedside to increase orientation. d. Walk about in the room, carrying on con-versation.
While being comforted in the emergency room,the 7-year-old sibling of a pediatric trauma victim blurts out to the nurse,"It's all my fault! When we were fighting yesterday,I told him I wished he was dead!"
The nurse, realizing that the child is experiencing "magical thinking,"should respond by 1. asking the child if he would like to sitdown and drink some water. 2. sitting the child down in an emptyroom with markers and paper so that they can draw a picture. 3. calmly discussing the catheters,tubes,and equipment that the patient requires and explaining to the sibling why the patient needs them. 4. reassuring the child that it is normalto get angry and say things that we do not mean but that we have no control over whether or not an accident happens.