During your primary assessment you find your patient has an altered mental status. This could indicate which of the following?
A) The need to complete a secondary assessment B) Problems with the RAS due to hypertension
C) The need for suctioning of the airway D) Failing respiratory system
Question 2
You have arrived at the home of an elderly male who called 911 for pain in his penis. He has a Foley catheter in place. He is supposed to have a home health aide visiting him daily, but, although it is 1500 hours, she has not yet visited today. You visualize the catheter and bag and note that the Foley bag is full of urine, so much so that it appears to be pulling the tube taut. What could you do to remedy this situation?
A) Call the home health care service and ask why they can't manage their employees better.
B) Access the drain, drain the urine into a container, and see if doing so relieves the discomfort.
C) Any procedure involving a Foley requires special training. Transport to the ER.
D) Remove the Foley catheter.
The nurse conducts the health history as the first step in the nursing assessment
Proper placement and monitoring of an automatic blood pressure cuff will reduce the risk of injury o
A patient with exophthalmos.
Algorithm for assessing a patient at risk for suicide.
High net primary productivity
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