A nurse who provides care on a pediatric medicine unit has conducted a medication reconciliation of a recently-admitted patient
In light of the fact that the child takes methylphenidate (Ritalin), the nurse is justified in considering a history of what health problem?
A) Anxiety
B) Respiratory depression
C) Obesity
D) ADHD
D
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The nurse assesses the client's urine and finds a specific gravity of 1.050, which the nurse concludes is consistent with the nursing diagnosis:
1. Fluid Volume deficit. 2. Fluid Volume excess. 3. Infection. 4. Urinary elimination, altered.
Which of the following clients in the community with chronic mental illness is most likely to be compliant in taking his or her prescribed medications on a consistent basis?
a. The client who has an understanding of his or her disease and medication's effect in controlling symptoms b. The client who has insurance that covers the cost of all prescribed medications c. The client who has very little insight of his or her illness and is living with a family member d. The client who is trying to live independently in a homeless shelter
The nurse setting up the environment for tracheal suction on a newly postoperative tracheostomy patient will: (Select all that apply.)
a. auscultate lungs for retained secretions. b. wash hands and open sterile suction kit. c. don clean gloves and lift out catheter and connect to suction. d. don sterile gloves and prepare solutions from kit. e. perform suction with sterile supplies.
A client is undergoing a lengthy series of treatments for a skin disorder. The best method of documenting the client's experience with the treatments is for the nurse to
a. document the lesions clearly at each visit using proper terminology. b. draw the distribution and characteristics of the lesions occasionally. c. have the client record ongoing changes and include them in the record. d. photograph the lesions at each clinic visit and use them for comparison.