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The nurse is caring for a patient with a decubitus ulcer and needs to know what dressing to use and whether sterile technique is required. Based on the information needed to do the patient’s wound care, the clinical decision support tool the nurse would choose as their resource is the:

The following is the nomogram used for titrating heparin infusions using AntiXa results. The patient’s AntiXa result comes back at 0.86. It is 0700, and the patient’s heparin is running at 11.5 units/kg/hr. According to the nomogram, what will the nurse do? SUGGESTED NOMOGRAM FOR HEPARIN DOSING USING ANTI-Xa MONITORING Heparin Activity (AntiXa) Level PRN Re-Bolus Change Infusion Rate Next Heparin Activity (AntiXa) Level < 0.20 units/ml 25 units/kg once, then increase by 4 units/kg/hr 6 hours after dose adjustment 0.20 - 0.29 units/ml none increase by 2 units/kg/hr 6 hours after dose adjustment 0.30 - 0.70 units/ml none No change in 6 hours x 1, then every AM 0.71 - 0.80 units/ml none decrease by 1 unit/kg/hr 6 hours after dose adjustment 0.81 - 0.99 units/ml none decrease by 2 units/kg/hr 6 hours after dose adjustment > 1.0 units/ml none Stop infusion for 1 hour,  then decrease by 3 units/kg/hr 6 hours after dose adjustment  

As a working nurse, you notice that the daughter of a patient you provided care to last year who died has been coming to the waiting room every day for the past week and talking to other visitors.  She appears tired and stressed; another visitor approaches you and says that the daughter has been sharing the experience of her mother’s death, stating that the nursing staff here is “horrible”.  She has been telling the other visitors that the nurses, “let my mother die.”  You call your nursing manager to talk to her because you recognize that the daughter is exhibiting signs of:

A patient in a hospice program is experiencing continuous, increasing amounts of pain. The nurse caring for the patient plans the scheduling of opioid pain medications to provide

When an air embolism is suspected in a patient with a central venous access device, the appropriate nursing interventions include:

A hospice patient is manifesting a decrease in all body system functions except for a heart rate of 102 and a respiratory rate of 28 that is irregular. The nurse explains to the family that these symptoms

The nurse is caring for a terminally ill patient who has 20-second periods of apnea followed by periods of deep and rapid breathing. The nurse documents this finding as

The spouse of a patient with terminal lung cancer visits daily and cheerfully talks with the patient about vacation plans for the next year. When the nurse asks about any concerns, the spouse says, “I’m busy at work, but otherwise things are fine.” An appropriate nursing diagnosis is

The focus of quality healthcare should be on which of the following? (Select all that apply.)

To explain Addison’s Disease to the patient, the nurse defines Addison’s disease as a/an