need to be stored in the refrigerator. should only be taken in the evening before bed. should be diluted in a glass of cold water or juice. need to be taken on an empty stomach.
A client has been diagnosed with pernicious anemia. What breakfast should the nurse suggest to increase dietary B12?
banana nut muffin, bowl of grits, green tea bran waffles, grapefruit, iced coffee whole grain oatmeal with strawberry slices, orange juice scrambled eggs, beef sausage patty, milk
During the planning stage of the nursing process, the nurse should
collect pertinent data about the client. consider goals and select the best nursing interventions. evaluate success of the interventions. create a nursing diagnosis based upon the assessment.
The nurse is working with a nursing student to administer an enema solution to a client. The client states she feels painful cramping. The nurse should intervene by
squeezing the enema bag so the flow rate is faster. explaining to the client that this is a normal feeling and continuing with the enema. clamping the tube for 1 minute and then starting the enema at a slower rate. discontinuing the enema until the provider can order a PRN pain medication.
The nurse cares for two children brought into an emergency shelter. Law enforcement suspects the children have been neglected. The nurse should assess
visual acuity using the Snellen chart. blood pressure and pulse rate. height and weight. bruises on the knees and elbows.
A child was exposed to the hepatitis A virus, became ill, and made a full recovery 2 years ago. The child is now immune to the hepatitis A virus and will likely be protected for the rest of her life. This type of immunity is referred to as
active artificial immunity. naturally acquired active immunity. artificially acquired passive immunity. naturally acquired passive immunity.
A nurse is working with an immobile client and doing passive range-of-motion (ROM) exercises on his legs. The client states the exercise is too painful and does not want to continue. The nurse should
ask the client to first rate the pain level on a scale of 0 – 10. ask the provider to order PRN pain medication to be given before exercise. continue the exercise and encourage the client to work through any pain. stop the exercise if the client complains of pain.
A client comes into the emergency room after a chemical splashed into her eye at work. The priority nursing intervention is to
cover the eye with a sterile cloth. determine what chemical splashed into the eye. irrigate the eye with normal saline solution. test vision in the affected eye.
A client diagnosed with lung cancer asks the nurse what the term M0 refers to. The nurse says that M0 means
no distant metastasis present. distant metastasis present. distant metastasis cannot be evaluated. metastasis present only in immediate lymph nodes.
A medication error has occurred, and the client has received double the ordered dosage of magnesium sulfate. The nurse anticipates the physician will order what medication STAT?
chlordiazepoxide (Librium) vitamin K naloxone (Narcan) calcium gluconate