How much does it cost to attract a new customer versus keeping an old one?
A hospice patient is manifesting a decrease in all body syst…
A hospice patient is manifesting a decrease in all body system functions except for a heart rate of 102 and a respiratory rate of 28 that is irregular. The nurse explains to the family that these symptoms
While caring for his wife, Mr. Jones states that his wife is…
While caring for his wife, Mr. Jones states that his wife is a devout Roman Catholic but he is a Baptist. Who is considered the most reliable source for spiritual preferences concerning end-of-life care for Mrs. Jones?
As the nurse admits a patient with severe heart failure to t…
As the nurse admits a patient with severe heart failure to the hospital, the patient tells the nurse, “If my heart or breathing stop, I do not want to be resuscitated.” Which action is best for the nurse to take?
A 21-year-old is dying after an automobile accident. The fam…
A 21-year-old is dying after an automobile accident. The family members want to donate the patient’s organs and ask the nurse how the decision about brain death is made. The nurse explains that the patient will be considered brain dead when
A nurse is working on discharge teaching for the following p…
A nurse is working on discharge teaching for the following patients. Which patients will most likely require more teaching time and a creative teaching method? (Select all that apply.)
A patient in a hospice program is experiencing continuous, i…
A patient in a hospice program is experiencing continuous, increasing amounts of pain. The nurse caring for the patient plans the scheduling of opioid pain medications to provide
The following is the nomogram used for titrating heparin inf…
The following is the nomogram used for titrating heparin infusions using AntiXa results. The patient’s AntiXa result comes back at 0.86. It is 0700, and the patient’s heparin is running at 11.5 units/kg/hr. According to the nomogram, what will the nurse do? SUGGESTED NOMOGRAM FOR HEPARIN DOSING USING ANTI-Xa MONITORING Heparin Activity (AntiXa) Level PRN Re-Bolus Change Infusion Rate Next Heparin Activity (AntiXa) Level < 0.20 units/ml 25 units/kg once, then increase by 4 units/kg/hr 6 hours after dose adjustment 0.20 - 0.29 units/ml none increase by 2 units/kg/hr 6 hours after dose adjustment 0.30 - 0.70 units/ml none No change in 6 hours x 1, then every AM 0.71 - 0.80 units/ml none decrease by 1 unit/kg/hr 6 hours after dose adjustment 0.81 - 0.99 units/ml none decrease by 2 units/kg/hr 6 hours after dose adjustment > 1.0 units/ml none Stop infusion for 1 hour, then decrease by 3 units/kg/hr 6 hours after dose adjustment
When an air embolism is suspected in a patient with a centra…
When an air embolism is suspected in a patient with a central venous access device, the appropriate nursing interventions include:
Which of the following signs or symptoms should pose an imme…
Which of the following signs or symptoms should pose an immediate concern for a nurse after starting a blood transfusion? (Select all that apply.)