While examining the oral cavity of a client, the nurse detects a fruity odor to the client's breath. The nurse should do which of the following?
A. Instruct the client to use mouthwash after all meals.
B. Instruct the client in good oral hygiene.
C. Document the finding as the only action.
D. Notify the physician.
D
A fruity odor to the breath may indicate uncontrolled or undiagnosed diabetes mellitus. The nurse should notify the physician or health care provider so that the appropriate steps to investi-gate this finding can be taken.
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After living with OA for 2 years, an older woman's bone density scan shows no improvement, despite consistent bisphosphonate therapy. Which intervention should the nurse implement to reduce bone loss for this older adult?
a. Add tai chi or yoga exercises. b. Instruct her to drink fortified milk. c. Increase weight-bearing exercises. d. Review her daily nutritional habits.
An order is written for a drug that is an adjunctive therapy for Parkinson's disease. The nurse reviews the order before administering the drug. What medication orders should the nurse question?
A) Levodopa 0.5 to 1 g/d orally in 2 divided doses B) Amantadine (Symmetrel) 200 mg orally b.i.d. C) Tolcapone (Tasmar) 400 mg orally t.i.d. D) Selegiline (Carbex) 10 mg/d orally
A client admitted to the health care facility for minor surgery is given a booklet by the nurse about the health care facility. Which of the following is a purpose of this booklet?
A) To orient the client to the facility B) To provide a source of therapeutic distraction for the client C) To obtain the client's consent for the surgery D) To list the cost of diagnostic tests
A client who has myasthenia gravis (MG) exhibits increased muscle weakness, difficulty swallowing, and respiratory distress. Cholinergic crisis is diagnosed and is medically treated by:
a. administrating atropine b. conducting a Tensilon test c. providing oxygen by a mask d. performing a tracheotomy