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After providing care, a nurse charts in the patient's record. Which entry will the nurse document?

A.

Apparently is asleep with eyes closed.

B.

Skin pale and cool.

C.

Drank adequate amounts of water.

D.

Appears restless when sitting in the chair.

Answer and Explanation

The Correct Answer is B

A. "Apparently is asleep" is subjective and does not clearly convey the nurse's observation.
B. "Skin pale and cool" is an objective and measurable observation that can be documented clearly.
C. "Drank adequate amounts of water" is vague and should be more specific, such as "drank 200 mL of water."
D. "Appears restless" is subjective and does not provide clear documentation of the patient's condition.
 


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Related Questions

Correct Answer is B

Explanation

A. Unequal power may contribute to the issue, but it is not the primary cause of ethical dilemmas.
B. Presence of conflicting values is the primary cause of ethical dilemmas. This occurs when the nurse’s personal, professional, or institutional values conflict with the patient’s preferences or the care that should be provided.
C. Poor communication can be a factor, but it’s not the core issue.
D. Judgmental perceptions may affect the decision-making process, but it does not constitute the primary cause.

Correct Answer is ["50"]

Explanation

Infusion rate: 150 mL/hr

Drop factor of the tubing: 20 gtt/mL

First, we need to convert the infusion rate from mL/hr to mL/min:

Infusionrate(mL/min)=60minutes/hourInfusionrate(mL/hr)​

Infusionrate(mL/min)=60minutes/hour150mL/hr​=2.5mL/min

Now we can calculate the drops per minute using the drop factor:

Drops/minute=Infusionrate(mL/min)×Dropfactor(gtt/mL)

Drops/minute=2.5mL/min×20gtt/mL=50gtt/min

Therefore, the nurse should set the manual IV infusion to deliver 50 gtt/min.

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