The nurse institutes seizure precautions for a client with a history of epilepsy. Which action is inconsistent with seizure precautions?
a. Keeping oxygen and suction equipment nearby
b. Keeping the side rails up while the client is in bed
c. Padding the side rails of the bed
d. Taking an oral temperature when doing vital signs
D
Clients with a history of seizures or epilepsy should have axillary or rectal temperatures taken.
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To retain supervisory staff members, the director of nursing develops a mentoring program. The best person to be a mentor for a new supervisor in a leadership position is someone who has:
a. Been in exactly the same position and can relate to the new supervisor's problems. b. Had vast leadership opportunities and likes to talk about his or her past expe-riences. c. Leadership experience and time to spend communicating with the new supervisor about his or her experiences. d. People who can help the new supervisor get what he or she needs to make the or-ganization grow quickly and prosper in the process.
A patient who has a history of depression is prescribed propranolol (Inderal). Which precaution is most important for the nurse to teach the patient?
a. "You should expect a decrease in depression symptoms while you are taking propranolol." b. "While taking propranolol you may notice that your depression gets worse." c. "Stop taking propranolol whenever you experience depression symptoms." d. "Propranolol may cause difficulty with the ability to perform sexually."
The study conducted by Chen et al. (2006) to evaluate the results of a 12-week cognitive behavioral therapy group for patients diagnosed with depression found that when compared to the control group, the experimental group clients:
a. did not experience any improvement in their conditions b. increased understanding about depression and depression medications c. became more anxious and angry, and less composed and agreeable d. demonstrated improvements in areas of depression relief and enhancement self-esteem
The nursing staff on the surgical unit complains to the manager that they do not have enough time to complete all wound care and dressing changes. What is the manager's most appropriate action to take?
a. Decrease the patient-to-nurse ratio within budget limits b. Offer an in-service session on time-management strategies c. Suggest a continuing quality improvement committee to assess the issue d. Report the complaints to the director of nurses at the next management meeting