When caring for an extremely jaundiced patient with cirrhosis, what should the nurse include provisions for in the plan of care?
a. Encouraging consumption of a high-fat diet
b. Skin care to relieve pruritus
c. Offering foods rich in fat-soluble vitamins
d. Meticulous foot care
ANS: B
Jaundice causes pruritus and can lead to skin lesions and pressure ulcers.
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A nurse assesses a client with a brain tumor. Which newly identified assessment findings should alert the nurse to urgently communicate with the health care provider? (Select all that apply.)
a. Glasgow Coma Scale score of 8 b. Decerebrate posturing c. Reactive pupils d. Uninhibited speech e. Diminished cognition
The nurse is reviewing antiepileptic drug (AED) therapy. Which statements about AED therapy are accurate?
(Select all that apply.) a. AED therapy can be stopped when seizures are stopped. b. AED therapy is usually lifelong. c. Consistent dosing is the key to controlling seizures. d. A dose may be skipped if the patient is experiencing adverse effects. e. Do not abruptly discontinue AEDs because doing so may cause rebound seizure activity.
Which nursing intervention is most helpful to parents of a neonate with bilateral cleft lip?
a. Assure the parents that the correction will be immediate and uncomplicated. b. Show the parents "before-and-after" pictures of an infant whose cleft lip has been successfully repaired. c. Teach the parents about long-term enteral feedings. d. Refer the parents to a community agency that addresses this problem.
An individual's obligation to honor commitments and contracts is the definition for the ethical principle of ____________________
Fill in the blank(s) with correct word