A nurse who is starting the shift finds a client with an IV that is leaking all over the bed linens. What does the nurse do initially?
A. Assesses the insertion site
B. Checks connections
C. Checks the infusion rate
D. Discontinues the IV and starts another
Answer: A. Assesses the insertion site
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A nurse has noted that a newly admitted patient has been taking ramelteon (Rozerem) for the past several weeks. The nurse is justified in suspecting that this patient was experiencing what problem prior to starting this drug?
A) Somnambulism (sleepwalking) B) Difficulty falling asleep at night C) Early morning waking D) Frequent nighttime awakenings
A woman in labor seems to be progressing more slowly than expected. Which action should the nurse perform first?
A. Administer oxygen by face mask. B. Assess the woman for a full bladder. C. Increase the rate of the IV fluids. D. Provide stimulants such as coffee.
A patient with a history of seizures is being admitted to the hospital after a grand mal seizure took place at a shopping mall. The patient's spouse accompanied the patient to the hospital and is being interviewed by the nurse
Which question should the nurse ask to quickly focus on the pa-tient's symptoms? a. "What made you choose this hospital?" b. "How long did the seizure last?" c. "Tell me how the seizure disorder has af-fected the family." d. "Tell me why you brought your spouse to the hospital today."
You are a school nurse working with adolescents. An adolescent tells you that he thinks he has a sexually transmitted disease (STD)
He wants to see a doctor to get diagnosis and treatment if necessary, but he says he definitely does not want to tell his parents. Your best initial action would be to: a. reassure him that you will not contact his parents b. convince him to talk with his parents c. check the laws of your state to find the age at which adolescents can seek diagnosis and treatment of STDs without parental consent d. Refer the adolescent to the local clinic that provides free STD testing