The client has symptoms of the common cold and is to be treated with a decongestant nasal spray. What is the nurse's highest priority instruction to the client?
a. Use as many puffs as needed as often as necessary for up to 10 days.
b. Use one to two puffs four to six times daily for up to 5 to 7 days.
c. Use no more than one puff three times daily for up to 7 days.
d. Use two puffs two times daily for no longer than 3 days.
ANS: B
Instruct client not to use more than one or two puffs, four to six times a day, for 5 to 7 days. Rebound congestion can occur with overuse.
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A patient with COPD delightedly tells the nurse that he has quit smoking and is using chewing tobacco. What is the most appropriate nursing intervention?
a. Congratulate him on his quitting smoking. b. Warn him of the dangers of oral cancer. c. Suggest that he add nicotine patches in addition to the chewing tobacco. d. Point out that he is still addicted and is using tobacco.
An important family intervention to facilitate family health in the Nursing Intervention Classification system is:
1. Communicating frequently with every family member 2. Promoting family integrity 3. Contacting only the significant others for information 4. Questioning all family members
The nurse performs an apical-radial pulse evaluation, with the result of 100/88. This pulse deficit assessment is:
1. 12. 2. 24. 3. 76. 4. 88.
A nurse has identified glaring inefficiencies in the way that care is organized on a medical unit. Which of the following tasks will this nurse perform if he or she is to act as a change agent?
A) Informing others about the need for change B) Ensuring that others comply with any change that is implemented C) Establishing punishments and rewards to foster compliance with change D) Evaluating the long-term outcomes associated with change