The nurse has determined that a pregnant client has pica after the client confides to the nurse that she is eating laundry starch daily. The nurse should assess the client for:
A. Alopecia.
B. Weight loss.
C. Iron-deficiency anemia.
D. Fecal impaction.
C
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Order: Zofran (ondansetron HCl) 0.15mg/kg IVPB 30 minutes before chemotherapy. The label on the vial reads 2 mg/mL, and the manufacturer's directions states to dilute in 50 mL D5W and infuse in 15 minutes
Calculate the rate of flow in drops per minute for a patient who weighs 55 kilograms. The drop factor is 10 gtt/mL. 1. 216 gtt/min 2. 72 gtt/min 3. 36 gtt/min 4. 14 gtt/min
A patient tells the nurse that he is very worried about his surgery. Which of the following responses by the nurse is a cliché?
A) "Tell me what you are worried about." B) "What is it that you are worried about?" C) "Do you want to cancel your surgery?" D) "Don't worry, everything will be fine."
Which interventions should the nurse implement for a child in skeletal traction to prevent complications of immobility? Select all that apply
a. Reposition the child every 2 hours. b. Avoid use of an egg-crate or sheepskin mattress. c. Limit fluid intake. d. Administer stool softeners as prescribed. e. Encourage coughing and deep breathing.
When instructing a client on breast self-examination, the nurse reviews the importance of visual inspection of the breasts
Which of the following should the nurse instruct the client to focus on when doing this part of the examination? (Select all that apply.) 1. Contour and symmetry of the breasts 2. Skin changes 3. Position of the nipples 4. Presence or absence of masses 5. Pain 6. Size