The nurse should assess a client with significant diarrhea for:
a. fluid overload.
b. dehydration and electrolyte loss.
c. unexplained weight gain.
d. edema.
ANS: B
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A patient with a history of resolved substance abuse and who has been pacing, disorganized, mumbling to himself, trembling, and intrusive has just been given 10 mg of PRN intramuscular diazepam (Valium) after responding threateningly to a peer who
asked him to lend him money. Important nursing interventions at this point include: (Select all that apply.) a. Teach the patient about side effects and the importance of using the medication as prescribed. b. Monitor the patient's vital signs and behavior to determine his response to the medication. c. Stay with the patient to provide reassurance and support, and provide for any safety needs that might develop. d. Support the long-term use of benzodiazepine medications to assure that his disorder is adequately treated. e. Advise the patient to avoid salty foods or other sources of high levels of sodium while taking benzodiazepines. f. Discourage the patient from stimulating activities or substances such as basketball or caffeine.
A review of a client's history reveals that the client takes ginkgo. Which of the following would the nurse assess for in the client as a common adverse reaction? Select all that apply
A) Hyperglycemia B) Headache C) Hypotension D) Rash E) GI discomfort
Cultural competence is
A. A set of integrated attitudes, knowledge, and skills that enables nurses to care effectively for patients from diverse cultures B. Necessary for nurses to work collaboratively within a diverse workforce C. Requires experience working within a diverse workforce D. Both A and B
A nurse working in an infertility clinic should include which information in her discussions with the clients?
1. It is important to know the statistics surrounding couples who never learn why they are infertile. 2. Couples should understand the legal controversy concerning therapeutic insemination. 3. Couples should seek marriage counseling before undergoing fertility treatments. 4. Couples should discuss therapeutic insemination and in vitro fertilization as alternatives.