eat healthy foods refrain from exercise take medications as directed monitor her blood sugar before every meal
A client admitted with hepatic encephalopathy continues to attempt ambulation without assistance despite repeated instruction. Which intervention should the nurse take to promote safety?
administer Xanax 6 mg PO apply a vest restraint device request a family member stay with the client around the clock move the client closer to the nurses’ station
Mix and Match: Match the therapeutic position with a reason for assuming the position.
Position Reason 1. Fowler’s prevent pulmonary aspiration 2. lithotomy nasogastric tube in place 3. prone administering an enema 4. reverse Trendelenburg’s gynecological procedures 5. Sim’s post neck surgery
The nurse is caring for a client taking levothyroxine (Synthroid) for hypothyroidism. Which finding indicates a side effect of this medication?
weight loss weight gain light sensitivity excessive sleepiness
A client is scheduled for a CT with and without contrast to rule out diverticulitis. Which medication on the client’s medication list would be of concern to the nurse?
paroxetine (Paxil) gabapentin (Neurontin) metformin (Glucophage) methocarbamol (Robaxin)
Place in order the steps a nurse should take when removing a gown from a client in isolation. All steps are to be used.
peel gown from shoulder toward hand on each arm hold removed gown away from body unfasten neck and then waist ties roll gown into a bundle and discard into an appropriate receptacle
A school nurse is approached by a student who says that her friend has been cutting herself on the arms. The student asks the nurse not to tell anyone. Which response by the nurse is correct?
“I have to notify her parents, because this affects her personal safety.” “I won’t tell anyone, but let me know if she starts talking about suicide.” “I will call the hospital and let them send a psychiatrist to do an evaluation on your friend.” “I will make it a point to run into her in…
The nurse is teaching a newly diagnosed client about Crohn’s disease but discovers that the client has several barriers to learning. The nurse understands that socioeconomic barriers to learning include which factors? Select all that apply.
cognitive delays low level of literacy adequate health insurance lack of access to health resources lack of interest in learning about disease
A nurse is floated to oncology from the postsurgical floor. The assigned client is almost finished with an infusion of doxorubicin for breast cancer. The floated nurse is not chemotherapy certified. Which nursing action is the priority in this situation?
assess the client’s pain ask another nurse about side effects of the drug assess the IV site, including the date on the tubing and IV site inform the charge nurse that she is not chemotherapy certified and ask for another assignment