The nurse is caring for a client who was admitted to the medical unit. The healthcare provider states that the client's Romberg test is positive. In order to meet this client's elimination needs, which interventions will the nurse implement?
A. Obtain an order for a catheter.
B. Limit fluid intake.
C. Obtain a bedside commode.
D. Allow the client to walk independently.
Answer: C
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In caring for a patient who is taking antiinflammatory drugs, the nurse should include which patient teaching points? (Select all that apply.)
a. Check stools for blood. b. Medications should be taken as ordered. c. Medications should be discontinued once improvement is experienced. d. Improvement takes 1 to 2 weeks. e. You may take this drug without food.
The patient database reveals that a patient has decreased oral intake, decreased oxygen saturation when ambulating, complaints of shortness of breath when getting out of bed, and a productive cough
. What are the defining characteristics for the diagnostic label of Activity intolerance? a. Decreased oral intake and decreased oxygen saturation when ambulating b. Decreased oxygen saturation when ambulating and complaints of shortness of breath when getting out of bed c. Complaints of shortness of breath when getting out of bed and a productive cough d. Productive cough and decreased oral intake
A client diagnosed with anemia is receiving a blood transfusion. The client develops urticaria accompanied by wheezing and dyspnea not long after the transfusion starts. The nurse interprets this as indicative of which of the following?
A) Allergic reaction B) Side effect C) Toxicity D) Antagonism
A nurse is acting as a preceptor for a group of student nurses. The group is discussing common problems associated with the ear
To evaluate the group's understanding, the nurse asks, "What is the difference between otitis media with effusion (OME) and acute otitis media (AOM)? What response by a student nurse best demonstrates understanding? a. "AOM may require treatment with short-term antibacterial therapy. OME may cause mild hearing loss without pain, and antibacterial therapy is minimally effective." b. "Both AOM and OME need treatment with short-term antibacterial therapy." c. "OME can occur after AOM and lasts for a few days, whereas AOM is not as serious and can be treated at home." d. "With AOM, parents should consider having tubes inserted into ear. With OME, parents need not be too concerned."