The nurse is caring for a post–lumbar puncture client experiencing an intense headache. The physician is notified and arriving to assess the client. If the physician chooses aggressive treatment, which nursing action is anticipated?
A) Hanging an intravenous solution
B) Drawing venous blood to perform a blood patch
C) Applying ice to the back of the neck
D) Offering caffeinated drinks
B
Feedback:
Aggressive treatment would include performing a blood patch by instilling 20 to 30 mL of the client's venous blood into the epidural space to seal the leak of CSF fluid. Increasing fluid intake and instilling parenteral caffeine sodium benzoate are less aggressive treatments. Applying ice to the head is a conservative treatment.
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A perinatal nurse assesses a term newborn for respiratory functioning. The nurse will document which of the following findings as normal for a neonate? (Select all that apply.)
A. Breathing pattern that can be shallow, diaphragmatic, and irregular B. Periodic episodes of apnea C. Respiratory rate of 20-40 breaths/minute while sleeping D. Respiratory rate of 60-80 breaths/minute E. The neonate's lung sounds are moist during early auscultation
While performing an integumentary assessment on a 72-year-old male client, the nurse notes the presence of tenting. Which of the following actions is indicated by the nurse first?
1. The nurse will need to notify the healthcare provider. 2. The rate of the intravenous infusion will need to be increased to combat dehydration. 3. A lung assessment will need to be performed. 4. No action is indicated.
The nurse practitioner is debating whether to prescribe darbepoetin alfa (ARAN esp) or epoetin alfa. The nurse practitioner decides to write the order for darbepoetin alfa (ARAM esp), because it has the advantage over erythropoietin that it
a. is less painful to inject. b. can be administered less frequently. c. has a shorter half-life. d. is less likely to exacerbate hypertension.
The nurse on the unit is determining which activities may be delegated to assistive personnel. Assuming that the nurse assistant is competent, which one of the following activities may be safely delegated by the registered nurse?
1. Vital signs on a stable client 2. An admission history on a new client 3. Initial transfer of a postoperative client 4. Administration of medications prepared by the nurse