Answers
Where do you find an adult apical pulse? - ANS Left 5th intercostal rib mid clavicular
A patient initially weighs 200 lbs, but on the 2nd day of admission the patient weighed 209 lbs,
what should the nurse evaluate the patient for? - ANS Fluid retention
In preparation for a rectal exam of non ambulatory patient w/ arthritis in both hips, patient
exam in which position? - ANS Sims position
Subjective data - ANS feelings, perceptions, reported symptoms
After assessing the patient and using 2 ID needed to provide headache relief the nurse gives
tylenol. What do you do after? - ANS reassess again after 30 mins
Patient with high dose of opioid medication for severe pain, which assessment finding do you
find due to opioid toxicity - ANS respiratory depression
Nurse caring for patientt with peripheral IV being used intermittently for medications but not
continuous infusion, what does that mean?what should the nurse do for cleaning this? -
ANS Flush with 0.9 saline and lock it
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