ATI ESSENSIALS OF NURSING

A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. His blood pressure is initially 80/40 mm Hg. After initial fluid resuscitation his blood pressure increases to 122/84 mm Hg. His heart rate is now 100 beats per minute and his respiratory rate is 28 breaths per minute. A tube thoracostomy is performed for decreased left chest breath sounds with the return of a small amount of blood and no air leak. After chest tube insertion, the most appropriate n...

1. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse best demonstrates this concept? a. Assesses for cultural influences affecting health care b. Ensures that all the clients basic needs are met c. Tellsthe client and family about all upcoming tests d. Thoroughly orients the client and family to the room ANS: A Competency in client-focused care is demonstrated when the nurse focuses on communication, culture, respect compassion, client educatio...

Question 1 When you are assessing the internal structures of the eye, absence of a red reflex may indicate: a. Cataract or hemorrhage into the vitreous humor b. Acute iritis c. A normal finding in older adults d. Diabetes or long-standing hypertension Question 2 Which of the following is the correct statement regarding the size of the arterioles and veins in the fundi of the eye? a.The veins and the arterioles are equal in size Incorrect: Veins will be visibly larger than the arteriol...

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