A client has been instructed regarding a prolactin level to be drawn the next day. Which of the following statements indicate that the client will need further instruction?
1. "I will be on time, in the afternoon."
2. "I will be relaxed."
3. "I will make sure not to take my antihistamine."
4. "I will practice another method of birth control rather than the pill."
1
Certain medications (e.g., antihistamines and oral contraceptives) and fear can increase the prolactin level. The prolactin level is drawn in the morning.
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A patient at risk for excess vascular volume should be assessed for
A) peripheral edema. B) pulmonary edema. C) liver congestion. D) All of the above are correct.
The nurse is caring for a child with aplastic anemia. Which of the following nursing diagnoses would be appropriate? Select all that apply
a. Acute pain related to vaso-occlusion b. Risk for infection related to inadequate sec-ondary defenses or immunosuppression c. Ineffective protection related to thrombocytopenia d. Ineffective tissue perfusion related to anemia
The nurse has administered a preoperative medication to the patient going to surgery. Which action will the nurse take next?
a. Notify the operating suite that the medication has been given. b. Instruct the patient to call for help to go to the restroom. c. Waste any unused medication according to policy. d. Ask the patient to sign the consent for surgery.
The nurse is doing a follow-up home visit to a family who lost their 3-month-old infant to SIDS 8 weeks ago. The mother answers the door in her nightgown, with hair uncombed. During the interview, the mother states: "I don't see the point of getting dressed each day." Which stage of grief will the nurse document based on the current data?
1. Recovery 2. Yearning, pining 3. Hostile 4. Disorganization