A client is in the second stage of shock. Which of the following would the nurse most likely assess? (Select all that apply.)
a. Oliguria d. Restlessness
b. Tachypnea e. Hemodynamic insta-bility
c. Agitation and confu-sion f. Tachycardia (100–120 bpm)
A, B, D, F
Assessment of the client in the second stage of shock would most likely reveal oliguria, tachypnea, restlessness, and tachycardia (100-120 bpm). Agitation and confusion, and hemodynamic instability are characteristic of the third stage of shock.
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The nurse is teaching parents and an adolescent who has a chronic condition to transition the adolescent to health care for a young adult. What challenges might the parents and adolescent face?
1. The adolescent and parents might be anxious for this transition. 2. The adolescent and parents are not ready to end the current relationship. 3. Adult health care providers are willing to accept adolescents with chronic conditions. 4. Once the adolescent reaches 21 years of age, he automatically will be insured.
The nurse needs to pull the portion of the ear that consists of movable cartilage and skin down and back when administering eardrops. This portion of the ear is called the:
a. Auricle. b. Concha. c. Outer meatus. d. Mastoid process.
The nurse is applying the concept of mindfulness to support the use of self when caring for patients with mental illness. Which statements reflect an accurate understanding of this concept? Select all that apply
1. It is a form of self-esteem. 2. It is a form of self-awareness. 3. It is a state of being aware but not acting automatically. 4. It is a state of being aware but also acting automatically. 5. It is a state of accepting things as they are without judgment.
Which of the below are true about peritoneal dialysis?
a. performed by nurse, client, or family member b. minimally disrupting to the client's lifestyle c. less expensive than hemodialysis d. more stressful for the client e. only clean technique is required f. almost as effective as hemodialysis