Answer to Question 1
Correct Answer: 3
Rationale 1: Constipation does not need to be reported immediately.
Rationale 2: Respiratory rate of 18 breaths per minute is a normal respiratory rate for an adult.
Rationale 3: Renal status and urinary output should be monitored. The nurse should report a scanty urine output.
Rationale 4: Urine output of 35 ml per hour can be a normal output for an adult.
Global Rationale: Renal status and urinary output should be monitored. The nurse should report a scanty urine output. Constipation does not need to be reported immediately. Respiratory rate of 18 breaths per minute is a normal respiratory rate for an adult. Urine output of 35 ml per hour can be a normal output for an adult.
Answer to Question 2
Correct Answer: 4
Rationale 1: Acetaminophen does not change respiratory rate.
Rationale 2: Acetaminophen does not change pulse.
Rationale 3: Acetaminophen does not change blood pressure.
Rationale 4: Clients on acetaminophen (Tylenol) should report signs of liver toxicity, nausea, vomiting, anorexia, bleeding, severe upper or lower abdominal pain, heartburn, jaundice, or a change in the color or character of stools.
Global Rationale: Clients on acetaminophen (Tylenol) should report signs of liver toxicity, nausea, vomiting, anorexia, bleeding, severe upper or lower abdominal pain, heartburn, jaundice, or a change in the color or character of stools. Acetaminophen does not change respiratory rate. Acetaminophen does not change pulse. Acetaminophen does not change blood pressure.
The grey nurse shark is critically endangered on the Australian east coast.
The tone of the nurse-patient introduction sets the stage for the patient interview and patient care
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
Stand at the side facing the client. Apply L stroke to both sides of the neck with flat fingers ...
Nurse using a stethoscope
Testing the client’s ability to feel vibrations, the knee