A patient is to receive an acetaminophen (Tylenol) suppository for an elevated temperature of 102.8° F. What actions must the nurse take? (select all that apply)
a. Ask if the patient is having any diarrhea.
b. Lubricate the blunt end of the suppository.
c. Put on a pair of sterile gloves.
d. Place the patient in the Sims' position.
e. Ask the patient to take a deep breath and bear down.
f. Push the suppository into the rectum about 1 inch.
ANS: A, D, E, F
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The patient has an excessive production of antidiuretic hormone (ADH). The nurse expects what change in the patient's blood pressure?
A) Increase in blood volume will cause increase in blood pressure. B) Increase in water and sodium excretion will cause a decrease in blood volume. C) Increase in ADH production will cause an increase in renin production and hypertension. D) Increase in ADH production will decrease angiotensin production and hypotension.
When providing personal care to a child, a nurse should do which of the following? Select all that apply
1. Respect the child's need for privacy. 2. Knock before entering the child's room. 3. Enter the child's room without knocking. 4. Consider the importance of modesty to the child. 5. Leave the room door open while the child is bathing.
Which is true of women who have had a unilateral mastectomy?
A) They no longer require breast examination. B) They should be examined carefully along the surgical scar for masses. C) Lymphedema of the ipsilateral arm usually suggests recurrence of breast cancer. D) Women with breast reconstruction over their mastectomy site no longer require examination.
A community health nurse primarily works with mothers and their high-risk children, often referring them to various voluntary agencies for services. Which of the following would be examples of voluntary health agencies? Select all that apply
A) American Diabetes Association B) The U.S. Public Health Service C) The National Institutes of Health D) Women, Infant, and Children Program (WIC) E) National Society for Autistic Children F) Planned Parenthood Federation of America