The nurse is assisting with the discharge of a patient from a clinic after evaluation of a perforated eardrum. The patient is advised not to shower. Which of these, if stated by a patient, indicates to the nurse correct understanding of the teaching?

a. Showering would disturb equilibrium.
b. Water should not enter the ear.
c. Motion of the ear would cause pain.
d. The patient should move as little as possible.


ANS: B
Water should not enter the ear.

Nursing

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A nurse is administering morphine IM, which was prescribed for a patient reporting severe pain. What should be the nurse's primary assessment focus on to evaluate the patient's response to this drug?

a. Cardiac rhythms for tachycardia b. Respiratory rate for tachypnea c. Increased bowel sounds in the gastrointes-tinal system d. Sedative effects in the neurologic system

Nursing

The nurse observes sinus bradycardia on a client's monitor. Which of the following data sets would indicate the client is in need of treatment for this rhythm?

1. Client is lightheaded and complaining of chest discomfort. 2. Client is alert, oriented X3, and blood pressure is 120/60, with no other complaints. 3. Client's heart rate is 50 and blood pressure is 110/62, with no other complaints. 4. Client's respiratory rate is 16, blood pressure is 114/70, and client is pain-free.

Nursing

The client in active labor is requesting pain relief. The physician orders an epidural anesthetic for the client

Which of the following actions should the nurse be prepared to make immediately after administration of the epidural? The nurse should assess: A. The blood pressure. B. For headache. C. For urinary retention. D. The maternal pulse rate.

Nursing

Research grant applications submitted to the NIH are usually reviewed twice

A) True B) False

Nursing