A nurse in the intensive care unit is caring for a client in the immediate postoperative period following abdominal surgery. The nurse receives several
... [Show More] prescriptions. Which prescription should the nurse initiate first? Click on the exhibit button for additional information. - Accurate Answer✅✅Normal saline 2 L via rapid IV bolus.
A housekeeping employee tells the staff nurse of having a headache and asks for acetaminophen. How should the nurse respond? - Accurate Answer✅✅Refer employee to the employee health provider.
The school nurse assesses an 8-year-old with a history of asthma. The nurse notes mild wheezing and coughing. Which action should the nurse perform first? - Accurate Answer✅✅Assess the client's peak expiratory flow.
A client comes to the community mental health clinic seeking treatment for severe anxiety associated with a recent job promotion that requires a 30-minute commute via train. The nurse recognizes that this client most likely suffers from which psychological disorder? - Accurate Answer✅✅Agoraphobia
A client who is diagnosed with breast cancer asks the nurse, "Am I going to die?" Which statement by the nurse promotes a therapeutic relationship? - Accurate Answer✅✅"People with cancer experience fear of dying; tell me about your concerns."
The nurse is reinforcing education to the caregivers of a 9-year-old client diagnosed with scarlet fever. The client has a history of type 1 diabetes mellitus. Which statement by the caregivers indicates that further teaching is needed? - Accurate Answer✅✅"We will not administer insulin if our child is unable to eat."
A client is diagnosed with right-sided Bell's palsy. What instructions should the nurse give this client for care at home? Select all that apply. - Accurate Answer✅✅1. Apply a patch to the right eye at night.
3. Chew on the left side.
4. Maintain meticulous oral hygiene.
- Bell's palsy is an inflammation of the cranial nerve VII (facial) that causes motor and sensory alterations. Clients are usually managed as outpatients, with corticosteroids to reduce inflammation, and taught eye/oral care. In Bell's palsy, the eyelids do not close properly. This may result in eye dryness and risk of corneal abrasions. However, weakness of teh lower eyelid may cause excessive tearing due to overflow in some clients. Facial muscle weakness results in poor chewing and food retention.
The spouse brings a client to the emergency department due to erratic behavior and expressions of despair. The emergency department is extremely busy with many clients. When the triage nurse asks if the client feels suicidal now, the client shrugs the shoulders. What initial action should the triage nurse take? - Accurate Answer✅✅Place the client in an inside hallway with one-on-one observation.
The orthopedic health care provider instructs a client with a fractured femur, who has been non-weight bearing for the past 5 weeks, to progress to full weight bearing on the right leg. which advanced crutch gait that most closely resembles normal walking should the office nurse teach the client? - Accurate Answer✅✅4-point gait
- there are 5 crutch gaits: 2-, 3-, 4-point, swing-to, and swing-through
`A nurse administers an intramuscular (IM) injection using the Z-track method technique. Place the steps in chronological order. All options must be used. - Accurate Answer✅✅4. Pull the skin 1-1 1/2" (2.5-3.5 cm) laterally and away from the injection site.
3. Hold the skin taut with non-dominant hand and insert needle at a 90-degree angle.
2. Inject medication slowly with dominant hand while maintaining traction
6. Wait 10 secon [Show Less]