The nurse caring for a patient with acute pancreatitis will include in the daily assessments: (Select all that apply.)
a. auscultation of bowel sounds to detect paralytic ileum.
b. amount of food eaten each meal.
c. abdominal girth to detect ascites.
d. effectiveness of pain control.
e. urine output.
A, B, D, E
People with pancreatitis are NPO.
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The nurse is prioritizing care to prevent pressure sores for a client who is immobilized. Which interventions are appropriate? (Select all that apply.)
a. Place a small pillow between bony sur-faces. b. Elevate the head of the bed to 45 degrees. c. Limit fluids and proteins in the diet. d. Use a lift sheet to assist with reposition-ing. e. Reposition the client who is in a chair every 2 hours. f. Keep the heels off the bed surfaces. g. Use a rubber ring to decrease sacral pres-sure when up in the chair.
During the interview, a patient states that she or he doesn't use many drugs. The nurse's best response to this statement is:
A) "Tell me about the drugs you use now." B) "To some people, six or seven is not many." C) "Do you mean legal drugs or illegal ones?" D) "What kind of drugs are you talking about?"
A patient is receiving intravenous gentamicin. Which change in condition does the nurse report to the prescriber immediately?
a. Temperature increase from 38° C to 39° C. b. Blood pressure decrease from 132/80 to 118/66. c. Total 24-hour urine output decrease from 2100 mL to 1100 mL. d. White blood cell (WBC) count decrease from 11,000/mm3 to 8500/mm3.
Liden's servant leadership model is "trait-like" in that
a. Leader behaviors are identified b. Leader attributes are part of the antecedent conditions c. Humility is a consistent servant leadership factor d. Identifying leader traits is an outcome of servant leadership