hold the cane in the right hand hold the cane in the left hand move the cane and step forward with the right leg move the cane and step forward with the left leg
A nurse in intensive coronary care is caring for a client with an endotracheal tube who underwent coronary bypass surgery. The client awakens and attempts to communicate. Which nursing interventions should the nurse perform? Select all that apply.
offer a communication board ask simple yes/no questions ask open-ended questions offer an electrolarynx
A 10-year-old is sent home from school with a report of having lice. The nurse should instruct the parent on which intervention?
wash the hair for three continuous days with dandruff shampoo isolate all clothing of the child for one week treat with an approved pediculicide agent according to directions shave the child’s head, then cleanse with herbal shampoo
A young child with a rash that’s raised and has circumscribed areas filled with fluid comes to the school nurse. What type of rash should the nurse document?
maculopapular rash heat rash vesicular rash pustular rash
The nurse is caring for a client with breast cancer who has an order for doxorubicin IV. The nurse anticipates which common side effect of this medication?
permanent hair loss halos around objects and blurred vision red urine for 1 – 2 days after administration facial flushing and red streaking along the vein
The nurse is preparing to administer furosemide IM to a 6-month-old client with edema. Which location is the preferred injection site for this client?
the gluteus medius the vastus lateralis the dorsogluteal site the ventrogluteal muscle
The nurse is caring for a client who has an order for ceftriaxone IV. The client is awake and alert and has been taking PO medications and eating. The IV ceftriaxone is not available in the automatic medication dispenser. What should the nurse do next?
hold the medication since the client is afebrile call the pharmacy to send up the missing IV medication obtain the PO ceftriaxone from the medication dispenser and administer it call the health care provider and see if the client can be switched over to oral ceftriaxone
The nurse has an order to administer enoxaparin (Lovenox) 40 mg subcutaneously. When the automatic medication dispenser opens, however, the nurse finds enoxaparin 80 mg in the pocket. Which is the correct action by the nurse?
notify the pharmacy to correct the error skip the morning dose of the medication call the health care provider for order clarification waste half of the enoxaparin and give the remaining 40 mg
The night nurse is preparing to pull night medications for a client. Levofloxacin is scheduled to be given at 0030. The nurse will give this medication at which time?
1:30 a.m. 1:30 p.m. 11:30 p.m. 12:30 a.m. 12:30 p.m.
The nurse is teaching a group of student nurses about drug safety. Keeping in mind Joint Commission guidelines, which of the following does the nurse teach the students? Select all that apply.
“Do not abbreviate drug names.” “Use daily instead of QD , Q.D. , or q.d. ” “Rectum can be abbreviated PR , R , or Per Rec .” “Use OD to indicate right eye for eye medications.” “Use the letter u to indicate units, such as with insulin.”