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A recent research study shows that clients appreciate classical orchestral music, and playing it frequently lowers clients’ blood pressure.  A nurse proposes that the hospital apply these research findings.  Which aspect of this research suggests that it may not be appropriate to implement as evidence-based practice?

The nurse is caring for a patient who is receiving vancomycin (Vancocin) to treat a severe infection. The next dose is due to be administered at 10:00 a.m.  What time will the nurse draw the vancomycin serum trough level?    

The nurse is caring for a patient with advanced chronic obstructive pulmonary disease (COPD) who reports feeling short of breath. The nurse notes that the patient’s lung sounds are diminished bilaterally, and the patient’s pulse oximetry is 92% on 2 L/min oxygen via nasal cannula. What actions will the nurse take to make the patient more comfortable? (Select all that apply) 

Mrs. Ree’s complaints of fatigue are well noted in her admission statements. She states, “I don’t have the energy to do anything anymore. I don’t know what’s wrong with me.“  She denies pain, but says she is very tired. Her lab work demonstrates the following results: Red blood cells (RBCs): 3.8 cells/mm3 Hemoglobin (Hgb): 7.6 g/dL Hematocrit: 34% Glucose: 210 mg/dL Which diagnosis does the above lab work indicate Mrs. Ree is experiencing?

A nurse is working with a patient who has limited English proficiency. What action by the nurse is best?

 A large disaster in a community resulted in the destruction of many family homes and many individuals were injured. The assistance of public health nurses and home health nurses are needed. The home health nurse is most likely to perform which of the following?

The physician orders chest physiotherapy with percussion and vibration for a newly admitted patient.  Which of the following patient conditions may lead the nurse to question the order : 

A public health nurse is working with a group of home health nurses in an isolated, mountainous region where access to smaller communities and individuals is quite difficult, especially in the winter and early spring-seasons when health needs of these individuals are quite high. The public health nurse has set up video conferencing and video clinics for these home health nurses regarding various client teaching and health promotion activities. This is an example of which of the following?  

A elderly client with hypertension takes diuretics and vasodilators to lower her blood pressure. During the morning assessment of the client, which of the following findings would be a cause for concern?

The nurse assesses a postoperative client who has a rapid, weak pulse; urine output less than 30 ml/hr; and decreased blood pressure.  The client’s skin is cool and clammy.  What complication should the nurse suspect?