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Chapter 1. Assessment and Clinical Decision-Making: Overview Multiple Choice Identify the choice that best completes the statement or answers the question. 1. Which type of clinical decision-making is most reliable? 1. Intuitive 2. Analytical 3. Experiential 4. Augenblick 2. Which of the following is false? To obtain adequate history, health-care providers must be: 1. Methodical and systematic 2. Attentive to the patient’s verbal and nonverbal language 1. Able to accurately interp...

1. A Critical care nurse is assessing a client who has a severe head injury. In response to painful stimuli, the client does not open her eyes, displays decerebrate posturing, and makes incomprehensible sounds. Which of the following Glasgow Coma Scale scores should the nurse assign the client? 1. 2 2. 5 3. 10 4. 13 2. No question 3. No question 4. nurse is preparing to administer a unit of packed RBCs (Unable to read) a. Obtain the client’s first set of vital signs 1 hr. after b....

Do you wake up exhausted or maybe with a headache or a dry mouth? Obstructive sleep apnea could be the reason. The condition emerges when the breathing process is affected during sleep, usually for more than thirty seconds. When humans sleep, the body muscles relax, including other muscles such as the chest and throat muscles. When experiencing sleep apnea, relaxation of throat muscles combines with a narrowed passage of air, thus interrupting breathing. On the other hand, a home sleep stu...

1. 20-year history of COPD and is receiving oxygen at 2 L/min via nasal cannula. - Increase the oxygen flow and request and arterial blood gas determination 2. A nurse is assisting with the care of a client who has a chest tube in place following a thoracotomy. Which of the following actions should the nurse take? - Place the drainage unit below the client's chest level 3. A nurse in a medical-surgical unit is assessing a client. The nurse should identify that which of the following fin...

1. A nurse is preparing to administer thrombolytic therapy to a client who had an ischemic stroke. Which of the following is an appropriate nursing action? a. Start the therapy within 8 hr b. Insert an indwelling urinary catheter after therapy begins c. Monitor blood pressure every 30 min during the infusion d. Elevate the head of bed between 25 and 30 2. A nurse is teaching a client about the use of an incentive spirometer. Which of the following instructions should the nurse include ...

1. A nurse is caring for a client who is receiving mechanical ventilation and develops acute respiratory distress. Which of the following actions should the nurse take first? - Initiate bag-valve-mask ventilation 2. A nurse is caring for a client for whom the respiratory therapist has just removed the endotracheal tube. Which of the following actions should the nurse take first? - Evaluate the client for stridor 3. A nurse is caring for a client who had a left lower lobectomy to treat lung...

1. A nurse is completing the admission assessment of a client who has acute pancreatitis. Which finding is the first priority? A) History of cholelithiasis B) Elevated serum amylase levels C) Decrease in bowel sounds upon auscultation D) Hand spasms present when blood pressure is checked - D. Rationale: the greatest risk to the client is ECG changes and hypotension from hypocalcemia. Hand spasms when taking blood pressure is a manifestation of hypocalcemia 2. A nurse is completing an admiss...

19. Which of these laboratory test results will be most important for the nurse to monitor when evaluating the effects of therapy for a patient who has acute pancreatitis? a. Calcium b. Bilirubin c. Amylase d. Potassium - ANS: C Amylase is elevated in acute pancreatitis. Although changes in the other values may occur, they would not be as useful in evaluating whether the prescribed therapies have been effective. 20. Which assessment finding in a patient with acute pancreatitis would the...

You find an unresponsive pt. who is not breathing. After activating the emergency response system, you determine there is no pulse. What is your next action? - Start chest compressions of at least 100 per min. You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50 mm Hg, the heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min, and the pulse oximetry reading is 97%. What assessment step is most important now? - Obtaining a 12 lead ECG. What is the p...

Start chest compressions of at least 100 per min. - You find an unresponsive pt. who is not breathing. After activating the emergency response system, you determine there is no pulse. What is your next action? Obtaining a 12 lead ECG. - You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50 mm Hg, the heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min, and the pulse oximetry reading is 97%. What assessment step is most important now? Peripheral IV...

Introduction The 2025 ACLS Provider Course includes both skills tests and a written exam. The written exam measures the mastery of cognitive skills. The 2025 written exam must be used with the 2025 course materials, ie, Provider Manual, course video, and Instructor Manual. Administering the written exam This closed-book written exam must be completed independently by each student. To receive a course completion card, students must score at least 84% on the written exam. Remediation All studen...

2 Medications used to treat asystole Epinephrine Vasopressin 2 Medications used to treat PEA Epinephrine Vasopressin 2nd degree heart block type two is a sign of bilateral bundle branch disease 3 Medications used to treat bradycardia Atropine Epinephrine Dopamine 7 Medications used to treat tachycardia Adenosine Diltiazem Beta-blockers Amiodarone Digoxin Verapamil Magnesium Action of epinephrine Causes vasoconstriction and increases cardiac output A-fib impulses that cause a rapid he...

1. You find an unresponsive pt. who is not breathing. After activating the emergency response system, you determine there is no pulse. What is your next action? - Start chest compressions of at least 100 per min. 2. You are evaluating a 58-year-old man with chest pain. The BP is 92/50 and a heart rate of 92/min, non-labored respiratory rate is 14 breaths/min and the pulse O2 is 97%. What assessment step is most important now? - Obtaining a 12 lead ECG. 3. What is the preferred method of access...

1.What should be done to minimize interruptions in chest compressions during CPR? A. Perform pulse checks only after defibrillation. B. Continue CPR while the defibrillator is charging. C. Administer IV medications only when breaths are given. D. Continue to use AED even after the arrival of a manual defibrillator. 2.Which condition is an indication to stop or withhold resuscitative efforts? A. Unwitnessed arrest B. Safety threat to providers C. Patient age greater than 85 years D. No r...

1.What should be done to minimize interruptions in chest compressions during CPR? A. Perform pulse checks only after defibrillation. B. Continue CPR while the defibrillator is charging. C. Administer IV medications only when breaths are given. D. Continue to use AED even after the arrival of a manual defibrillator. 2.Which condition is an indication to stop or withhold resuscitative efforts? A. Unwitnessed arrest B. Safety threat to providers C. Patient age greater than 85 years D. No r...

1. You find an unresponsive patient who is not breathing. After activating the emergency response system, you determine that there is no pulse. What is your next action? A. Open the airway with a head tilt–chin lift. B. Administer epinephrine at a dose of 1 mg/kg. C. Deliver 2 rescue breaths each over 1 second. D. Start chest compressions at a rate of at least 100/min. 2. You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50 mm Hg, the heart rate is 92/min, ...

1. You find an unresponsive patient who is not breathing. After activating the emergency response system, you determine that there is no pulse. What is your next action? A. Open the airway with a head tilt–chin lift. B. Administer epinephrine at a dose of 1 mg/kg. C. Deliver 2 rescue breaths each over 1 second. D. Start chest compressions at a rate of at least 100/min. 2. You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50 mm Hg, the heart rate is 92/min, ...

1. Acid-base balance/ventilators Rule of the B’s.. If the pH & the bicarb are both in the same direction = meta bolic If they are in different directions = respiratory pH = 7.35-7.45 acidosis/alkalosis HCO3 (bicarb) = 22-26 (2+2+2 = 6) CO2 = 45-35 ex: pH: 7.30 = bicarb: 20 = = metabolic acidosis ex: pH: 7.58 = bicarb: 32 = = metabolic alkalosis ex: pH: 7.22 = bicarb: 30 = = respiratory acidosis ex: You are providing care to a client with the following blood gas results: pH 7.3...

ACCT526-820_ Question 1 Correct Marked out of 3 Flag question e. annual balance sheet prepared in accordance with US GAAP d. budget versus actual reports c. None of these b. monthly analysis of product profitability Question text All of the following are examples of managerial accounting information except: Select one: a. monthly income statement for each store Question 3 Incorrect Marked out of 3 Flag question d. period costs c. expensed in the period in which they are incurre...

Question 1 Correct Mark 3.00 out of 3.00 Overhead costs are assigned to production using an overhead application rate, whereas no such application rate is used to assign the costs of direct materials and direct labor to production. The reason for this difference in procedures is that: Select one: a. overhead is an indirect cost which cannot be traced easily and directly to specific units of product b. independent of both the number and the type of products manufactured and also indep...