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What are low-risk complementary/alternative therapies in nursing practice?
The nurse overhears the patient care assistant (PCA) speaking harshly to a client with dementia. The charge nurse should:
A 45-year-old patient came into the ER complaining of shortness of breath along with a productive cough of green sputum that has continued for 3 months. He tells you that he smokes a pack of cigarettes a day, eats ice cream with every meal, and that his father and grandfather had COPD. Which factors put this patient at increased risk for developing COPD? (Select all that apply.)
The nurse is performing an initial assessment on a client who has just been told that a pregnancy test is positive. Which assessment finding indicates that the client is at risk for preterm labor?
The nurse teaches the staff that standard precautions should be used when providing care for which type of patient?
The nurse has given instructions on pursed-lip breathing to a client with COPD. Which statement by the client would indicate effective teaching?
Nurse Melai reviews the results of the CSF (cerebrospinal fluid) analysis of a client suspected of having meningitis. Which of the following results would confirm bacterial meningitis?
The nurse is providing dietary instructions for a client with iron-deficiency anemia. Which food is a poor source of iron?
The nurse has attended a staff education program about caring for clients who are receiving positive pressure mechanical ventilation. Which of the following statements by the nurse would indicate a correct understanding of the teaching?
A primigravida patient is admitted to the labor and delivery area. Assessment reveals that she is in the early part of the first stage of labor (latent phase). Her pain is likely to be most intense:
A therapeutic milieu on an inpatient psychiatric unit is characterized by which of the following?
After 3 days of breastfeeding, a postpartum patient reports nipple soreness. To relieve her discomfort, the nurse should suggest that she:
A client with hepatitis C and cirrhosis has just returned from a liver biopsy. Hemorrhage can occur after liver biopsy, so the client is positioned on the right side to apply pressure over the biopsy site and help prevent bleeding. In which position will the nurse place the client?
The nurse is caring for a client following reimplantation of the thumb and index finger. Which finding should be reported to the physician immediately?
Which behavior should the nurse expect a 3-year-old child to be capable of doing?
The nurse is responsible for performing a neonatal assessment on a full-term infant. At 1 minute of age, the nurse could expect to find:
What is required for informed consent to be valid?
The nurse is preparing to admit a client who has pleuritic chest pain and is reporting a cough productive of yellow sputum for the past 1 week. The client has a pulse oximetry reading of 90% on room air. Which of the following infection control precautions should the nurse implement?
A client is transferred to the hospital unit as a direct admit. While the nurse is obtaining part of the admission history, the client suddenly becomes semiconscious. Assessment reveals a systolic BP of 70 mmHg, heart rate of 130 beats/min, and respiratory rate of 24 breaths/min. The nurse suspects a leaking or ruptured abdominal aortic aneurysm. What is the nurse's best initial action?
A hypomanic patient tells you that she has been "picking up energy from my car engine and car CD player" while driving and has received five speeding tickets in the past 6 months. What would be one effective intervention to help her avoid fast driving?