Which of the following is considered a dependent nursing intervention? (Select all that apply.)
a. Wet to moist dressing changes every 6 hours while awake
b. Give Tylenol 650 mg orally every 4 hours prn pain
c. Music therapy as desired
d. Bathroom privileges as tolerated
e. Low sodium soft diet
f. Call button within reach at all times
ANS: A, B, D, E
Dependent nursing interventions are those delegated by a physician. C and F are independent nursing interventions that do not require a physician's order.
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A nurse is caring for a patient who is starting gabapentin therapy. During the initial assessment the patient informs the nurse that he takes antacids every day. The nurse will stress to the patient that gabapentin should be taken
A) at least 1 hour before ingesting antacids. B) at least 2 hours after administering antacids. C) intravenously. D) with milk or food.
The nurse is providing discharge teaching to a woman who has delivered her first child two days ago. The nurse understands that additional information is needed if the client makes which statement? (Select all that apply.)
A. "I should expect a lighter flow next week." B. "The flow will increase if I am too active." C. "My bleeding will remain red for about a month." D. "I will be able to use a pantiliner by tomorrow."
What activity will the nurse perform when assessing a client's fecal elimination status?
1. Obtain a nursing history 2. Interpret results of diagnostic tests 3. Perform a physical examination 4. Goal setting with the client
The nurse observes a patient who has periods of fast, deep respirations alternating with periods of apnea. What term should the nurse use to describe this pattern?
a. Tachypnea b. Kussmaul's c. Cheyne-Stokes d. Hyperventilation