The Nurse Working on a High-Acuity Medical-Surgical Unit Is Prioritizing

question 8

Multiple Choice

The nurse working on a high-acuity medical-surgical unit is prioritizing care for four patients who were just admitted. Which patient should the nurse assess first?

• A) The NPO patient with a blood glucose level of 80 mg/dL who just received 20 units of 70/30 Novolin insulin
• B) The patient with a pulse of 58 beats per minute who is about to receive digoxin [Lanoxin]
• C) The patient with a blood pressure of 136/92 mm Hg who complains of having a headache
• D) The patient with an allergy to penicillin who is receiving an infusion of vancomycin [Vancocin]

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Definitions:

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A contract formed by the actions and circumstances of the parties involved, rather than written or spoken words.

Licensing Statute

Legislation that specifies the requirements and conditions for obtaining a professional or business license to legally operate.

Illegal And Unenforceable

Describes contracts that cannot be legally upheld or enforced due to the inclusion of illegal acts or elements.

Usury

The lending of money at an exorbitant or unlawful rate of interest.