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The nurse is caring for a client with epilepsy who is to receive phenytoin sodium (Dilantin) 100 mg IV push. The client has an IV of D5(1/2)NS infusing at 100 mL/hr. When administering the Dilantin, which is the appropriate initial nursing action?
You are caring for a patient and pour out his evening risperidone (Risperdal) 2 mg tablet. The pill falls onto the countertop. What is your next intervention?
What is the most appropriate response by the nurse when a despondent client says, "Nothing matters anymore"?
A client with inflammatory bowel disease (IBD) requires an ileostomy. As an essential part of caring for the stoma, the nurse should instruct the client to do which of the following?
A patient was recently diagnosed with malignant hyperthermia, but she does not understand what manifestations of this condition look like. Which of the following will you NOT include in your explanation?
You are caring for a COPD patient who has arrived in your clinic presenting with symptoms of an exacerbation. Which symptoms would this patient likely present with? (Select all that apply.)
Which of the following situations best supports the stress-diathesis model of mental illness development?
With regard to small-for-gestational-age (SGA) infants and intrauterine growth restriction (IUGR), nurses should be aware that:
The healthcare provider is assessing the skin of a patient who is at risk for becoming infected with the human immunodeficiency virus (HIV). Which of the following findings requires immediate follow-up by the healthcare provider?
A client is admitted with a two-day history of nausea and vomiting. Which IV fluid is appropriate for a client with moderate dehydration?
Chemotherapy is used for cancer treatment. Which of the following best describes what chemotherapy actually does?
What should the nurse do related to advance directives (ADs)? Select the best answer that describes the nurse's responsibilities regarding ADs.
A 9-year-old child has a fractured tibia, and a full-leg cast has been applied. Nurse Jean should immediately notify the physician if assessment demonstrates:
The home health nurse is planning the day's visits. Which client should be seen first?
The nurse has taught a 45-year-old client who has had a hysterectomy and bilateral salpingo-oophorectomy about preventing osteoporosis. Which of the following statements by the client would indicate correct understanding of the teaching?
The nurse is caring for a client after a motor vehicle accident. The client has a fractured tibia, and bone is noted protruding through the skin. Which action is the priority?
Which of the following are clinical manifestations of COPD? (Select all that apply)
A client with a fractured hip is being taught the correct use of a walker. The nurse recognizes that the client is using the walker correctly if the client: