1. The family wish to see the body before it is taken to the funeral home. Which
interventions should the nurse take to prepare the body before the
... [Show More] family enters the
room? (Select all that apply)
a- Take out dentures and place in a labeled cup
b- Apply a body shroud
c- Place a small pillow under the head
d- Remove resuscitation equipment from the room
e- Gently close the eyes
A client with major depression who is taking fluoxetine calls the psychiatric clinic
reporting being more agitated, irritable, and anxious than usual. Which intervention
should the nurse implement?
a- Tell the client to have a complete blood count (CBC) drawn
b- Instruct the client to seek medical attention immediately
c- Encourage him to take the medication at night with a snack
d- Explain that these are common side effects of the medication
A client with diabetic peripheral neuropathy has been taking pregabalin for 4 days.
Which finding indicates to the nurse that the medication is effective?
a- Granulating tissue in foot ulcer
b- Full volume of pedal pulse
c- Reduced level of pain
d- Improved visual activity.
The nurse is assessing a client with Addison's disease who is weak, dizzy, disoriented,
and has dry oral mucous membranes, poor skin turgor, and sunken eyes. Vital signs are
blood pressure 94/44, heart rate 123 beats/minute, respiration 22 breaths/minute.
Which intervention should the nurse implement first?
c- Measure and record the cardiac QRS complex
a- Assess extremity strength and resistance
b- Report a sodium level of 132 mEq/L or mmol/L (SI units)
d- Check current finger stick glucose
A 41-week gestation primigravida woman is admitted to labor and delivery for induction
of labor. What finding should the nurse report to the healthcare provider before initiating
the infusion of oxytocin?
a- Fetal heart tones located in upper right quadrant
b- Biophysical profile results showing oligohydramnios
c- Regular contractions occurring every 10 minutes
d- d- Sterile vaginal exam reveling 3 cm dilatation [Show Less]