The warming, filtering and humidifying of inspired air takes place in the:  

This is a Multiple Response Item. The patient’s problem is the inability to clear his airway related to increased mucous production due to upper airway infection and poor cough effort.  The nurse includes which of the following interventions in the plan of care?    Select the two responses that apply. Type the letters to your answer in alphabetical order using no spaces, commas, or periods.  A.  Encourage increased fluid intake.  B.  Assess level of anxiety.  C.  Encourage coughing and pursed-lip breathing techniques.   D.  Assess calorie count with each meal. 

This is a Multiple Response Item. Accurate prioritization of patient problems may be achieved by which of the following? Select the three responses that apply. Type the letters to your answer in alphabetical order using no spaces, commas, or periods. A.  The medical diagnosis B.  Patient clinical status C.  Principles of BLS- Airway – Breathing – Circulation D.  Scheduling of care on the nursing unit E.  Maslow’s Hierarchy of Needs

What is an advantage of the Nursing Process?

In addition to identifying responses to actual or potential health problems, what is another purpose of the diagnosing step of the nursing process? 

The nurse is assessing a newly admitted client and notes capillary refill greater than 3 seconds. What is the nurse’s priority action?

This is a multiple select item An elderly client presents to the emergency department after sustaining a fall at home. Which of the following would lead the nurse to believe that geriatric syndrome is a concern for this client? Select the three responses that apply. Type the letters to your answer in alphabetical order using no spaces, commas.   A. The client’s daughter helps prepare client’s meals B. A pressure injury is noted on the client’s left buttock C. The client must use a cane because of osteoarthritis D. Client states sleep pattern averages about 3 hours per night E. The client consumes ensure between meals

Order:  levothyroxine 0.15 mg by mouth daily Supply:  levothyroxine 75 mcg tablets How many tablets will be administered for one dose? Record your answer using a whole number. 

This is a Multiple Response Item. Nursing implementations are determined by which of the following factors? Select the three responses that apply. Type the letters to your answer in alphabetical order using no spaces, commas, or periods. A. Evidence-based nursing literature B. The admitting medical diagnosis  C. Opinions of the patient and their family D. Collaboration with other healthcare providers E. Ongoing nursing assessments    

The nurse sits facing the patient at eye level to conduct the admission interview. What is the rationale for this action?