The nurse is caring for a patient who has had a stroke causing total paralysis of the right side. To help maintain joint function and minimize the disability from contractures, passive ROM will be initiated. When should the nurse begin this therapy?
a. After the acute phase of the disease has passed
b. As soon as the ability to move is lost
c. Once the patient enters the rehab unit
d. When the patient requests it
ANS: B
Passive ROM exercises should begin as soon as the patient's ability to move the extremity or joint is lost. The nurse should not wait for the acute phase to end. It may be some time before the patient enters the rehab unit or the patient requests it, and contractures could form by then.
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1. Administer antibiotics and assist with possible intubation. 2. Obtain a sputum specimen. 3. Swab the throat for a throat culture. 4. Administer nebulized epinephrine and oral or IM dexamethasone.
Which statement is true of Meaningful Use?
a. These are criteria created by patient advocacy groups intended to ensure that patient-facing technology is addressing users' needs. b. These are criteria created by the ONC to determine eligibility for incentives for health information technology adoption and use. c. These are criteria created by Congress that delineate appropriate uses of health data for research purposes. d. These are criteria proposed by the Institute for Healthcare Improvement to suggest ways to use health information technology to improve healthcare in the United States.
The nurse caring for an older patient who resides in an assisted living facility is asked to obtain and witness the patient's signature on a living will document. The nurse responds most appro-priately when stating
a. "I will, because such a document is so valuable to the patient's plan of care." b. "I'll ask the patient's family if they agree that the patient should sign the docu-ment." c. "First I need to discuss the purpose of this document with the patient." d. "I'm sorry but I cannot ethically do that."
The client is prescribed warfarin 7.5 mg daily. The medication is supplied as 5 mg tablets. How many tablet(s) should the client receive?
a. 1/2 c. 2 b. 1 d. 1 1/2