A nurse is preparing a client for an intravenous pyelogram (IVP). What measure should
the nurse employ?
A) Keep the client NPO (nothing by mouth) for at least 4 hours
B) Avoid the use of laxatives before the procedure
C) Provide the client with only a few sips of water if thirsty
D) Determine whether the client is allergic to shellfish
D
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An infant was born after a face presentation. When selecting a nursing diagnosis for the newborn, which body system does the nurse identify as a priority?
A) Respiratory B) Genitourinary C) Cardiovascular D) Gastrointestinal
A client who is 2 days postoperative from a bowel resection tells her nurse that she is having a hard time "catching her breath," feels nauseated, and has chest pains when she inhales. The nurse suspects that she is having a pulmonary embolism
What intervention should the nurse perform before notifying the physician? A. Increase the IV flow rate. B. Apply oxygen by mask or nasal cannula at 5 L/min. C. Assess the chest and axillary area for the presence of petechiae. D. Place the client in shock position, with her head and neck flat and her legs ele-vated.
In assessing a family, the community nurse uses a family assessment tool, which provides an organized framework to collect data concerning: Note: Credit will be given only if all correct and no incorrect choices are selected
Select all that apply. 1. Access to laundry, and grocery facilities. 2. Access to health care. 3. Sharing of religious beliefs and values. 4. Acculturation to traditional lifestyles. 5. Ability to include a new spouse into the family unit.
A child is being discharged from the hospital after a 3-week stay following a motor vehicle accident. The mother expresses concern about caring for the child's wounds at home
She has demonstrated appropriate technique with medication administration and wound care. Which nursing diagnosis is the priority in this situation? 1. Knowledge Deficit of Home Care 2. Altered Family Processes Related to Hospitalization 3. Parental Anxiety Related to Care of the Child at Home 4. Risk for Infection Related to Presence of Healing Wounds