The nurse realizes that which of the following conditions would prevent a client from being able to have an arterial puncture performed?
a. Client has been vomiting.
b. Client is receiving oxygen therapy.
c. Client has a respiratory condition.
d. Client is on anticoagulant therapy.
ANS: D
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A patient has just been prescribed nalidixic acid (NegGram) for treatment of a UTI. The nurse is providing patient education about nalidixic acid. Which statement by the patient demonstrates a need for further teaching?
a. "I may experience diarrhea." b. "I should take all my medicine until it is gone." c. "I should wear sunscreen and protective clothing when out in the sun." d. "I may experience blurred vision."
The nurse plans care for the client on a support surface. Which is the nurse's priority nursing diagnosis for the client?
1. Situational anxiety 2. Sensory impairment 3. At risk for constipation 4. At risk for hypovolemia
The 14-year-old child who is dying of leukemia is trying to comb her thinning hair and is having a great deal of difficulty due to weakness. The nurse should:
a. Take the hairbrush from her hand and finish the job b. Remind the child to stop in order to save her energy c. Compliment the child on the appearance of her hair d. Caution her that brushing will cause more hair to fall out
Which of the following statements, if made by an adolescent preparing for abdominal surgery, would indicate to the nurse that the client requires additional instruction?
A) "I can have a hamburger and French fries as soon as I wake up." B) "The better I eat before surgery, the more likely I will heal." C) "I might be sick to my stomach and throw up after surgery." D) "When I can eat again, the best meal would be steak and orange juice."