The home care nurse is caring for a diabetic patient with a nonhealing leg wound. The nurse asks the patient's wife if she would like to watch as the nurse sets up to do the dressing change
The nurse watches the wife's reaction as she completes the procedure. The best explanation for why the nurse does this is because
A) in most cases caregivers must become competent in taking over the wound care
B) the wife may have some affective reaction to the procedure that will need to be addressed
C) psychomotor skills are important and the nurse is evaluating the patient's wife to see if she is ready to assist
D) the patient's wife will play a role in the dressing change
A
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A nurse cares for a client who is prescribed patient-controlled analgesia (PCA) after a cholecystectomy. The client states, "When I wake up I am in pain." Which action should the nurse take?
a. Administer intravenous morphine while the client sleeps. b. Encourage the client to use the PCA pump upon awakening. c. Contact the provider and request a different analgesic. d. Ask a family member to initiate the PCA pump for the client.
Which nursing action is especially important for an SGA newborn?
a. Observe for respiratory distress syndrome. b. Observe for and prevent dehydration. c. Promote bonding. d. Prevent hypoglycemia with early and frequent feedings.
Upon admission to the detox unit, the nurse administers lorazepam (Ativan). The client asks, "How long will I get these drugs?" Which is the best understanding by the nurse?
A) The drugs will be given routinely until detox is completed. B) Because Ativan has potential addictive qualities, it will be stopped after 24 hours. C) High doses may be required initially but then will be tapered and stopped. D) The physician will decide the dosage and reorder every third day.
A patient is diagnosed with an acute myocardial infarction and ruptured papillary muscle. Which action is the highest priority for the nurse to complete?
1. Obtain an electrocardiogram. 2. Measure the patient's cardiac output. 3. Assess the patient's neurological status. 4. Assess respiratory status.