The nurse is making a home visit to an elderly client. Which of the following would be the most appropriate regarding this client's medications?
a. Ask the client to name all the drugs he is currently taking.
b. Determine which pharmacy dispenses the medications.
c. Have the client provide all the medications he is currently taking, both prescription and over the counter.
d. Recommend that all containers be childproof.
ANS: C
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A client diagnosed with major NCD is exhibiting behavioral problems on a daily basis. At change of shift, the client's behavior escalates from pacing to screaming and flailing. Which action should be a nursing priority?
1. Consult the psychologist regarding behavior-modification techniques. 2. Medicate the client with prn antianxiety medications. 3. Assess environmental triggers and potential unmet needs. 4. Anticipate the behavior and restrain when pacing begins.
Early discharge of the postpartum client has been associated with:
a. fewer maternal concerns and decreased incidence of readmissions. b. higher maternal attachment scores and fewer maternal concerns. c. greater satisfaction with postpartum care and happier families. d. decreased sibling rivalry and higher maternal attachment scores.
The correct nursing intervention for anaphylaxis would be
a. assess respiratory status, including dyspnea. b. hypertension and elevated albumin levels. c. assess skin status, including erythema, urticaria, cyanosis, and pallor. d. assess GI status, including nausea, vomiting, diarrhea, incontinence.
The nurse is caring for a client following a modified radical mastectomy. Which assessment finding would indicate that the client is experiencing a complication related to this surgery?
A. Sanguineous drainage in the Jackson-Pratt drain B. Pain at the incisional site C. Complaints of decreased sensation near the operative site D. Arm edema on the operative side