What is a common symptom of groupthink?

Which of the following patients is at the greatest risk for having difficulty voiding?

The nurse is using SBAR to provide a report to an intensive care nurse for a client transfer. Which statements indicate that the nurse is using this communication technique appropriately? Select all that apply.

A registered nurse delegates the task of taking a newly admitted client’s vital signs to a nurse’s aide. The client’s blood pressure was 182/98, but did not get reported to the physician for several hours. Who is responsible for the lapse in time between discovery and action?

The nurse is removing a surgical mask with ties. Which nursing action demonstrates the correct technique for removing a surgical mask with ties?

Jane Sanchez, a 32 year old female patient was admitted to the medical floor yesterday evening Monday October 25, with worsening shortness of breath, diarrhea, headaches, loss of taste and smell for three days. She is diagnosed as being positive for COVID-19. Her CT of the chest confirmed her diagnosis showing ground glass opacities in bilateral lung fields. Her medical history includes Asthma, Hypertension, Diabetes, and Morbid Obesity. Her Oxygen Saturation (O2 Sat) was 88% on room air upon admission. She was placed on O2 2lpm, and assisted into the tripod position as long as she tolerated. After 5 mins, her O2 Sat increased to 96%. She is dyspneic on exertion. This morning, around 5:00 a.m. Ms. Sanchez began complaining of a dry cough, sweating profusely, and chest pain when she coughs. You performed Vital signs (V/S) and observed that her Temperature is 101.5. BP 136/88, HR 100 RR 28 and O2 Sat 95%. You called the attending doctor, and he orders a Chest Xray, Tylenol 650mg q6h orally for the fever and pain, and Robitussin syrup 10 ml orally every 4h as needed for her cough. You have been closely monitoring Ms. Sanchez’ response to the treatment administered. After one hour, Ms. Sanchez reported that she has relief of the chest pain after she received the Tylenol. Her temperature is now 98.2. Question: Using the Problem, Etiology and Signs & Symptoms format, develop a Nursing Diagnosis related to Ms. Sanchez respiratory status  (You have the option of using “Risk for…”, in your problem if you so desire).

The nurse is caring for a client experiencing dyspnea. In which position should the nurse place this client?

Which statement accurately describes derealization?

A patient is prescribed an enema. How should the nurse position the patient prior to administration?

A patient on a medical-surgical floor who had gastrointestinal surgery three days ago reports a desire to follow the “food pyramid” guide to nutritional intake. How should the nurse evaluate this information?