Which of the following sources of client data is usually the primary and best source?
1. laboratory studies
2. significant others
3. client
4. client's record
ANS: 3
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A nurse is caring for a client who is intubated and has an intra-aortic balloon pump. The client is restless and agitated. What action should the nurse perform first for comfort?
a. Allow family members to remain at the bedside. b. Ask the family if the client would like a fan in the room. c. Keep the television tuned to the client's favorite channel. d. Speak loudly to the client in case of hearing problems.
The nurse is concerned that an older patient has undiagnosed sleep apnea and is at risk for which additional health problem?
1. Underweight 2. Excessive deep sleep 3. Increased risk for sudden death and stroke 4. Excessive tension in the muscles of the throat and soft palate
Following an angiogram, the nurse will make a point of care to assess and document:
1. fluid intake. 2. peripheral pulses in effected leg. 3. inquiring about allergy to iodine. 4. decreased blood pressure.
In order to accurately predict how the body absorbs, distributes, metabolizes, and eliminates psychotropic medications the nurse must be familiar with a medication's:
a. half-life. b. side effects. c. pharmacokinetics. d. therapeutic dosage range.