The independent interventions the nurse may employ when the 80-year-old patient in the long-term health care facility develops acute pulmonary edema are to: (Select all that apply.)
a. give oxygen at 2 L/min.
b. give morphine to relieve respiratory dis-tress.
c. give diuretics to relieve excess fluid.
d. position in high Fowler's position.
e. apply compression stockings.
A, D
Giving oxygen at low levels and positioning are the only independent nursing interventions. All other options require a physician's order.
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A physician writes an order to discontinue skeletal traction on an orthopedic patient. The nurse should anticipate what subsequent intervention?
A) Application of a walking boot B) Application of a cast C) Education on how to use crutches D) Passive range of motion exercises
The nurse is caring for a client who had a computed tomography (CT) scan of the head with contrast medium. Which priority intervention does the nurse implement?
a. Maintain bedrest with the head of the bed elevated less than 30 degrees. b. Apply a pressure dressing to the site of injection. c. Increase fluid intake after the procedure. d. Maintain sedation for 8 hours postproce-dure.
The nurse is working with a client with traumatic brain injury (TBI) suffered while biking without a helmet. The nurse helps the client draw pictures of steps for ADLs in an effort to help:
A) Become more assertive. B) Trigger memory. C) With drawing techniques. D) With anxiety.
The following is not one of the classifications for a definition of leadership:
a. The focus of group process b. An artistic process c. A behavior d. A personality trait e. An instrument of goal achievement