Which statement made by the UAP is best in understanding the teaching from the nurse?
A. "I will clean the site after applying the sensor."
B. "I will move the adhesive toe or finger sensor once a shift."
C. "I will remove any fingernail polish when using a pulse oximeter."
D. "I will use the side of the finger rather than perpendicular to the nail bed."
Answer: D
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The nurse is interviewing a Native American client who acknowledges seeing "spirits." Which of the following actions will be most important for the nurse to take to assist in assessing this client's symptoms?
1. Carefully question the client's family to prevent aggravating this symptom. 2. Observe the client's behavior to determine how the client expresses this symptom. 3. Consult the physician regarding how best to evaluate this symptom. 4. Obtain a profile of the client's cultural norms on which to interpret this symptom.
The nurse is caring for a patient who is suspected of having early stages of dementia. The nurse observes mild confusion, short-term memory loss, and restlessness. The nurse conducts a mini-mental status exam
The nurse is using which of the following components of critical thinking? a. Validation b. Interpretation c. Intuition d. Reasoning
The sibling of a depressed patient says, "When we were children my sister always gave up easily. Now as an adult, everyone in the family takes advantage of her." What is the most appropriate nursing intervention?
a. Begin cognitive therapy to reduce negative thinking. b. Plan measures to reduce inappropriate feelings of guilt. c. Discuss the value of assertiveness training with the patient. d. Invite the sibling to join the patient's group therapy sessions.
An elderly client wants to move into a congregate housing facility. What information
should the nurse provide regarding congregate housing? A) Personnel from the facility will check on each client daily B) Clients at this facility are supervised in all activities C) Clients spend only part of their day in this facility D) Only clients with disabilities can use this facility