A nurse is providing instructions to a nursing assistant who will be caring for a client in hand restraints. The nurse instructs the nursing assistant to release the restraints to permit muscle exercise:
A. Every 2 hours
B. Every 3 hours
C. Every 4 hours
D. Every 30 minutes
Ans: A. Every 2 hours
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An older adult male patient has begun treatment for gout after an extensive diagnostic workup. The nurse who is contributing to the patient's care should understand that gout is a result of what pathophysiological process?
A) Excess purine intake initiates an autoimmune process that impairs joint function. B) Hyperuricemia causes crystals to precipitate in the synovial fluid. C) Lack of joint mobility causes impaired uric acid metabolism. D) Mechanical damage to the joints results in increased release of uric acid.
An elderly client is easily completing a crossword puzzle yet he tells the nurse that he can't remember what he did with his watch. The nurse realizes this client is having difficulty with:
a. memory. b. crystallized intelligence. c. fluid intelligence. d. cognitive development.
The nurse has to take a client's radial pulse and apical pulse because the primary care provider suspects that the client's heart is not effectively pumping blood
Which readings by the nurse would best represent a pulse deficit for the client who needs to be entered in the electronic medical record? A) Apical 72 Radial 82 B) Apical 82 Radial 60 C) Apical 96 Radial 90 D) Apical 104 Radial 100
A client has a low serum potassium level and is ordered a dose of parenteral potassium chloride (KCl). How does a nurse safely administer KCl to the client?
A. Administers 5 mEq, intramuscularly (IM) B. Dilutes 200 mEq in 1 liter of normal saline and infuses at 100 mL/hr C. Infuses 10 mEq over a 1-hour period D. Pushes 5 mEq through a central access line