A nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse include?
A. Remove the
... [Show More] client's restraint every 4hr
B. Document the client's condition every 15 min
C. Attach the restrain to the bed's side rails
D. Request a PRN restrain prescription for clients who are aggressive
- B. Document the client's condition every 15 minutes
A nurse in a provider's office is reviewing the laboratory results for a group of clients. The nurse should identify that which of the following sexually transmitted infections is a nationally notifiable infectious disease that should be reported to the state health department?
A. Chlamydia
B. Human papillomavirus
C. Candidiasis
D. Herps simplex virus
- A. Chlamydia
A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the following manifestations should the nurse expect?
A. Loose stools
B. Jitteriness
C. Hypertonia
D. Abdominal distention
- B. Jitteriness
A nurse is caring for a client who has a history of depression and is experiencing a situational crisis. Which of the following actions should the nurse take first?
A. Confirm the client's perception of the event
B. Notify the client's support system
C. Help the client identify personal strengths
D. Teach the client relaxation techniques
- A. Confirm the client's perception of the event
A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. The nurse obtained a verbal prescription for restraints. Which of the following actions should the nurse take?
A. Request a renewal of the prescription every 8 hr.
B. Check the client's peripheral pulse rate every 30 min
C. Obtain a prescription for restraint within 4 hr.
D. Document the client's condition every 15 minutes.
- D. Document the client's condition every 15 minutes
A nurse is caring for a client who has end-stage kidney disease. The client's adult child asks the nurse about becoming a living kidney donor for her father. Which of the following conditions in the child's medical history should the nurse identify as a contraindication to the procedure?
A. Amputation
B. Osteoarthritis
C. Hypertension
D. Primary glaucoma
- C. Hypertension
A nurse is providing discharge teaching for a group of clients. The nurse should recommend a referral to a dietitian for which of the following clients?
A. A client who has a prescription for warfarin and states "I will need to limit how much spinach I eat".
B. A client who has gout and states, "I can continue to eat anchovies on my pizza."
C. A client who has a prescription for spironolactone and states "I will reduce my intake of foods that contain potassium".
D. A client who has (Unable to read) and states "I'll plan to take my calcium carbonate with a full glass of water".
- B. A client who has gout and states, "I can continue to eat anchovies on my pizza." [Show Less]