The client undergoing preoperative assessment before an elective procedure tells the nurse that she has been taking 10 mg of prednisone daily for rheumatoid arthritis. What is the nurse's best action?
A. Notify the surgeon and anesthesiologist.
B. Document the information as the only action.
C. Reschedule the surgery in 2 weeks when the client has cleared the drug from her system.
D. Suggest that the client switch to a nonsteroidal anti-inflammatory agent for pain relief.
A
The surgery does not need to be delayed; however, corticosteroids have many adverse effects and will have an impact on the client's responses. In addition, clients who have been taking cor-ticosteroids on a daily basis need to continue this therapy through the perioperative period to prevent adrenal insufficiency from abrupt withdrawal.
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The nurse is preparing to complete a physical assessment before surgery. Which of the following should the nurse obtain? Select all that apply
1. Mini mental status 2. Assessment of hearing 3. Assessment of the respiratory system 4. Gastrointestinal assessment 5. Maintain NPO status.
What is the independent variable in the hypothesis "Baccalaureate degree prepared nurses will practice more rehabilitative nursing measures on a client in an ICU than will associate degree prepared nurses"?
A) Associate degree prepared nurses B) Baccalaureate degree prepared nurses C) Rehabilitative nursing measures D) Type of educational background of nurses
MC The nurse has been monitoring the community's rates of cardiac disease and sees that they are increasing. The nurse holds a community forum to address the impact of cardiac disease on the community's health. Those attending are given information about
cardiac disease including interventions related to diet and exercise to decrease risk. Several church groups who attend the forum offer to host health fairs to provide additional information to the community as well as transportation to physician visits for older community members. Public health services exemplified in this situation include: (Select all that apply.) A. Mobilizing community partnerships to identify and solve health problems. B. Informing, educating, and empowering people regarding health issues. C. Monitoring health status to identify health problems. D. Diagnosing and investigating health problems and hazards.
An older adult pt on anticoagulation therapy for a PE is somewhat confused and requires assistance with activities of daily living. Which instruction specific to this therapy does the nurse give to the UAP?
a. count and report episodes of urinary incontinence b. use a lift sheet when moving or turning the pt in bed c. assist with ambulation because the pt is likely to have dizziness d. give the pt an extra blanket, because the pt is likely to feel cold