The nurse enters a client's room and observes the manifestations shown below. What action should the nurse take first?
a. Prepare to administer diphenhydramine (Benadryl).
b. Prepare to administer epinephrine.
c. Assess the client's respiratory status.
d. Get a full set of vital signs.
C
This client has angioedema, and the priority action is to assess her respiratory status because res-piratory collapse may follow. The nurse should have someone else notify the Rapid Response Team and prepare to administer epinephrine.
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Which statements are correct regarding informed consent and someone who requires an interpreter? (Select all that apply.)
a. A professional interpreter is needed. b. A family member may interpret when convenient. c. Detailed medical information remains a priority. d. Professional interpreters are not effective in providing medical information. e. If necessary, family members can make decisions regarding informed consent.
Neuroleptic drugs are prescribed to treat _____ disorders
a. Anxiety b. Personality c. Psychotic d. Somatoform
The nurse is visiting a patient who lives alone in a two-room house. The patient requires wound care and medication management, but his health is not expected to improve much, even with care
There is no running water in the house, and the bathroom is in disrepair and filthy. At the first home visit, which of the following should the nurse assess? Select all that apply. a. Wound status b. Patient concerns c. Ability to perform care independently d. End-of-life planning
What is the most reliable method of patient identification for administration of medications?
a. A photograph of the patient b. An identification bracelet c. Asking the patient to repeat his or her name d. Use of the patient's room number