A nurse suspects her/his patient may be suffering from delirium related to inadequate of sleep. What signs does the nurse observe to support this diagnosis?
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Put the following steps for putting on personal protective e…
Put the following steps for putting on personal protective equipment (PPE) in order. a. put on gown to fully cover torso from neck to knees, arms to end of wrists, and wrap around the back. b. perform hand hygiene. c. wear goggles or face shield. d. wear mask or respirator and fit flexible band to nose bridge. e. wear gloves to cover wrist of isolation gown. “Step 1” is “. “Step 2″ is ” “Step 3” is “. “Step 4″ is ” “Step 5” is “.
A patient rates his pain as a 6 on a scale of 0 to 10. The p…
A patient rates his pain as a 6 on a scale of 0 to 10. The patient’s wife says that he cannot be in that much pain because he has been sleeping for 30 minutes. Which resource is most accurate for assessing the pain?
A patient is being discharged home on an around-the-clock op…
A patient is being discharged home on an around-the-clock opioid for postoperative pain. Because of this order, the nurse anticipates an additional order for which class of medication?
The nurse is preparing a sterile field. Which of the followi…
The nurse is preparing a sterile field. Which of the following actions would cause contamination of the field?
During your head to toes assessment, you have 2 patients who…
During your head to toes assessment, you have 2 patients who are wearing nasal cannula. Who wears the nasal cannula correctly?
A patient requests pain medication for severe pain. Which sh…
A patient requests pain medication for severe pain. Which should the nurse do first when responding to this patient’s request?
When the patient asked the nurse about the use of acupunctur…
When the patient asked the nurse about the use of acupuncture for the control of back pain, the nurse warned that acupuncture can put the patient at risk for:
True or False: Allow patient to rest for 1 minute between n…
True or False: Allow patient to rest for 1 minute between nasopharygeal suction sessions. The doctor orders continuous O2 sat monitor for a patient. You know to rotate site of the clip-on oximeter sensor every 4 hours and of the disposable sensor at least every 24 hours to prevent skin breakdown or burns. The maximum oxygen flow rate for nasal cannula is 5 L/min.
A nurse is caring for a patient on oxygen via nasal cannula….
A nurse is caring for a patient on oxygen via nasal cannula. What is the most important nursing intervention to prevent complications related to oxygen therapy?