What question is most important for the nurse to ask the family members of the client with herpes zoster?
A. "Have you ever had measles?"
B. "Have you ever had mumps?"
C. "Have you ever had chickenpox?"
D. "Were you vaccinated against polio?"
C
Herpes zoster is caused by the same virus that causes chickenpox and is contagious to those people who have either not had chickenpox or who have not been vaccinated against it.
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A client with multiple myeloma is complaining of severe pain when the nurse comes in to give a bath and change position. What is the priority intervention by the nurse?
A) Inform the client that the position must be changed, and then you will give her pain medication and omit the bath. B) Inform the client that she will feel better after receiving a bath and clean sheets. C) Obtain the pain medication and delay the bath and position change until the medication reaches its peak. D) Inform the client that the bath and positioning is an important part of client care and will be done right after pain medication administration.
The nurse fits crutches correctly when:
a. the crutch pad is 1 inch below the axilla. b. the hand grip is adjusted to allow the client to have elbows bent at 30°. c. the crutches force the client to stand upright. d. the hand grip is adjusted to allow the client to have elbows nearly straight.
Which statement about glucocorticoids is the most accurate?
a. They influence carbohydrate, lipid, and protein metabolism. b. They are produced in decreased amounts during times of stress. c. They decrease serum sodium and glucose levels. d. They stimulate defense mechanisms to produce immunity.
A patient recovering from gastric surgery has red fluid in the nasogastric tube. Vital signs are temperature 98°F; heart rate 104; respirations 23; blood pressure 105/69. Which action by the nurse is indicated?
1. Document the findings and notify the healthcare provider. 2. Document the findings and reassess the patient in 4 hours. 3. Review the patient's most recent laboratory results. 4. Document the findings and review the nasogastric suction settings.