A nurse is collecting data from a client who is at the end of life. Which of the following findings should the nurse expect?
Moist mucous membranes
Tachycardia
Irregular respirations
Hypertension
The Correct Answer is C
Explanation:
A. Moist mucous membranes - This is unlikely in an end-of-life scenario. As death approaches, mucous membranes often become dry due to decreased fluid intake and decreased body function.
B. Tachycardia - Tachycardia, or a rapid heart rate, can be a common finding as death nears. It can result from various factors such as dehydration, fever, pain, or the body's response to stress.
C. Irregular respirations - Irregular respirations, including periods of apnea or agonal breathing (gasping, irregular, or shallow breaths), are typical findings in the end-of-life stage. These irregularities are part of the body's natural process as it shuts down.
D. Hypertension - Hypertension is less common in the end-of-life phase. Typically, blood pressure decreases as the body's systems begin to fail.
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Related Questions
Correct Answer is A
Explanation
Explanation:
A. Right communication:
This refers to providing clear and concise instructions to the assistive personnel regarding the delegated task. Effective communication ensures that the AP understands the task, its objectives, any limitations or special considerations, and the expectations regarding its completion. Clear communication helps prevent misunderstandings and promotes safe and efficient task execution.
B. Right room:
This choice does not directly relate to the five rights of delegation. The "right room" concept may refer to ensuring that the environment or room where care is provided is appropriate, safe, and conducive to the task being performed. While environmental factors are important in healthcare, they are not part of the specific rights of delegation.
C. Right time:
The "right time" aspect of delegation involves considering the timing of the task within the overall care plan. It includes assessing whether the task should be performed immediately, at a specific time, or within a particular timeframe. Delegating tasks at the right time ensures that they align with the client's needs and the overall care schedule.
D. Right documentation:
This refers to documenting the delegation process, including details such as the delegated task, the personnel involved, any specific instructions or limitations provided, and the outcomes or results of the task. Documentation is crucial for accountability, continuity of care, and legal purposes, ensuring that there is a record of who performed the task and how it was carried out.
Correct Answer is D
Explanation
Explanation:
A. "Qualitative research studies how to implement EBP into various settings."
This statement is not accurate. Qualitative research focuses on exploring phenomena, understanding experiences, and interpreting meanings rather than specifically studying how to implement evidence-based practice (EBP) into different settings. Qualitative research methods often involve interviews, observations, and thematic analysis.
B. "Quantitative research aims to understand the feelings associated with a particular event."
This statement is not accurate. Quantitative research primarily deals with numerical data and aims to quantify relationships, measure variables, and analyze data using statistical methods. Understanding feelings associated with events is more aligned with qualitative research, which explores subjective experiences and perceptions.
C. "Qualitative research uses larger sample sizes than quantitative research."
This statement is generally not true. Qualitative research typically uses smaller sample sizes compared to quantitative research. Qualitative studies focus on in-depth exploration and understanding of a smaller number of cases, often using purposive sampling to select participants who can provide rich and meaningful insights into the phenomenon being studied.
D. "Quantitative research analyzes collected data using statistical methods."
This is the correct statement. Quantitative research involves the collection of numerical data, which is then analyzed using statistical techniques to identify patterns, relationships, trends, and associations. Statistical methods such as regression analysis, t-tests, ANOVA, correlation, and others are commonly used in quantitative research to interpret and draw conclusions from the data.
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