The nurse is documenting a care plan for a client who has undergone electroconvulsive therapy (ECT). The nurse should include which intervention?
A. Monitoring the client's vital signs every hour for 4 hours
B. Placing the client in Trendelenburg's position
C. Encouraging early ambulation
D. Reorienting the client to time and place
Answer: D. Reorienting the client to time and place
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The nurse finds that a 6-month-old infant has an apical pulse of 166 beats/min during sleep. The nurse should do which of the following?
a. Administer oxygen. b. Record data on nurses' notes. c. Report data to the practitioner. d. Place child in high Fowler position.
DAWN stands for the
A. District Attorney Wait-list Number (for arrests) B. Distribution of Abuse in White Non-adults C. Drug Abuse Wait-list Number (for treatment) D. Drug Abuse Warning Network
The nurse is implementing a first-line measure to prevent atelectasis development in a patient. Which of the following is an example of a first-line measure to minimize atelectasis?
A) Incentive spirometry B) Intermittent positive pressure-breathing (IPPB) C) Positive end-expiratory pressure (PEEP) D) Bronchoscopy
James is hospitalized due to depression and chronic pain. In doing your nursing assessment, you are concerned over James' spiritual health. Which of the following questions to James might help in your assessment of James' spiritual health?
a. Are you sleeping and eating well? b. Do you get along well with your family? c. Do you have a sense of purpose in your life? d. What do you do for entertainment?