A 92-year-old client is admitted to the cardiac unit with chest pain. The physician ordered Restoril 15 mg at bedtime. The usual dosage given to adults is 30 mg. What interventions would the nurse take for this client?

A) administer the drug as ordered
B) ask the physician to change the dosage to 30 mg
C) monitor the client's renal function
D) give the client the drug and contact the doctor for a second dose if the client does not fall asleep


A

Nursing

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A client asks the nurse if there are any conditions that can exacerbate systemic lupus erythematosus (SLE). Which response by the nurse is the most appropriate?

A) "Conditions that cause hypotension can often exacerbate SLE." B) "GI upset is often associated with SLE exacerbation." C) "Pregnancy is often associated with an SLE exacerbation." D) "Fever is a known trigger for an SLE exacerbation."

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The nurse is caring for a 2-month-old with acute heart failure. The nurse is providing teaching about nutrition. Which of the following statements by the mother indicates a need for further teaching?

A) "The baby may need as much as 150 calories/kg per day." B) "Small, frequent feeds are best if tolerated." C) "The baby will not be able to have breast milk." D) "Continuous or intermittent gavage feeding may be required for now."

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What is the priority nursing diagnosis for a client with discoid lupus erythematosus?

A. Fatigue related to increased metabolic rate B. Disturbed Body Image related to skin changes C. Fear of Death related to having an incurable illness D. Impaired Mobility related to joint inflammation and myositis

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