The client has scabies. The nurse has taught the client about safety in using topical scabicide medications and evaluates that teaching has been effective when the client makes which statement?
1. "I should cover the area with a clean cloth."
2. "I will need help in showering to remove the lotion."
3. "I need to sign a consent for this medication."
4. "I must avoid putting this lotion on my face."
4
Rationale 1: It is not necessary to cover the area with a cloth.
Rationale 2: The client should not need assistance to shower.
Rationale 3: A consent is not necessary for these medications.
Rationale 4: These medications are irritating to sensitive skin and eyes, so the facial area should be avoided.
Global Rationale: These medications are irritating to sensitive skin and eyes, so the facial area should be avoided. It is not necessary to cover the area with a cloth. The client should not need assistance to shower. A consent is not necessary for these medications.
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A patient received a scheduled dose of depot medroxyprogesterone acetate (DMPA) 6 weeks ago. Today, the patient reports that a regular menstrual cycle is 2 weeks late. What is the first thing that should be done for this patient?
A) Perform a pregnancy test. B) Provide prenatal counseling. C) Discuss pregnancy termination options. D) Explain side effects of the contraceptive.
The nurse understands that clients receiving intravenous infusions of morphine sulfate:
a. may require periodic dosing with diphenhydramine for itching. b. are at high risk for developing tolerance to the drug. c. should be placed on mandatory bedrest. d. may experience severe diarrhea.
Which is the priority nursing action when providing care to a pediatric client who has documented allergies to cow's milk, peanuts, and latex?
1. Evaluating the hospital room for equipment containing latex 2. Ordering an EpiPen for the child 3. Notifying dietary of the milk and peanut allergy 4. Placing a sign on the door which identifies all allergies
The nurse is assessing an 8-year-old boy who is performing academically at a second-grade level. The mother reports that the boy states feeling weak and tired and has had a weight increase of 6 pounds (13.2 kg) in 3 months. Which additional data would fit with a possible diagnosis of hypothyroidism?
What will be an ideal response?