Which of the following goals is a priority in a patient who has been diagnosed with a hemorrhagic stroke?
A) Maintain adequate urine output.
B) Maintain and improve cerebral tissue perfusion.
C) Relieve anxiety.
D) Relieve sensory deprivation.
Ans: B
Feedback: The respiratory status is monitored because reduction in oxygen in areas of the brain with impaired autoregulation increases the chances of a cerebral infarction. Any changes are reported immediately.
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The nurse is caring for a client who will be taking nystatin (Mycostatin) for treatment of oral candidiasis. Which instructions does the nurse provide for the client before administering the medication?
a. "Let the tablet dissolve slowly in your mouth." b. "Take the medicine with a snack or a light meal." c. "Swallow the pills whole, followed by a full glass of water." d. "Swish the liquid around your mouth be-fore swallowing it."
A woman comes into the emergency department stating she was raped the day before, and requests emergency contraception. She states that she is in the middle of her cycle. The nurse knows which of the following about the client?
1. This client has waited too long before coming to the emergency department. 2. The client will have to wait 10 days before she can have emergency contraception. 3. The client can receive emergency contraception up to 72 hours to 5 days after the intercourse. 4. The client will have to wait and see whether she misses a period.
Good communication between the homemaker/home health aide and the case manager is just as important as good communication between the homemaker/ home health aide and the client
a. True b. False
The nurse is planning care for an older patient with depression. Which should the nurse make a priority?
1. Screening the patient for suicide risk 2. Assessing the patient for low-grade depressive symptoms 3. Assessing to distinguish depressive symptoms from a grief response 4. Promoting physical activity and maintain meaningful social connections for wellness