When providing client care, the nurse a problem and develops a…

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When providing client care, the nurse a problem and develops a related clinical question Next, the nurse intends to gather evidence so that the decision -making proce response to the problem and clinical question is evidence – based When gathering evidence which consideration is most important ? AFrequency that the problem occurs Related personal values C Relevance to the situation DPast experience with similar problems A male client with muscular dystrophy fell in his home and is admitted with a right hip fracture. His right foot is cool, with palpable pedal pulses. Lungs are coarse with diminished bibasilar breath sounds. Vital signs are temperature 101F, heart rate 128 beats /minute, respirations 28 breaths/minute, and blood pressure 122/82. Which intervention is most important for the nurse to implement first? A. Obtain oxygen saturation level B. Encourage incentive spirometry C. Assess lower extremity circulation D. Administer PRN oral antipyretic A nurse is caring for a client with Diabetes Insipidus (DI). Which data warrants the most immediate intervention by the nurse? A. Serum sodium of 185 mEq/ L B. Dry skin with inelastic turgor C. Apical rate of 110 beats minute s / m D. Polyuria and excessive thirst A new nurse preparing to irrigate an intravenous catheter is attaching a 24-gauge needle. Which action should the charge nurse implement? A. Direct the nurse to change the IV tubing. B. Instruct the nurse to remove the needle. C. Prompt the nurse to apply povidone to the site. D. Suggest the nurse use a 20-gauge needle.
SCIENCE
HEALTH SCIENCE
NURSING
MED/SURG 230

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