What is the major adverse risk when administering an enteral supplemental feeding to a patient through a feeding tube?
a. Aspiration of tube feeding contents.
b. Abdominal pain when given too fast.
c. Toxicity from too many vitamins and minerals.
d. Peritonitis if the bowel ruptures.
ANS: A
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An African-American female with blisters on the vagina is being treated with acyclovir (Zovirax) for genital herpes. She is angry at her partner for transmitting the infection. Which action by the nurse is best?
a. Encourage the client to engage in sexual activity since she is on medication. b. Be sensitive to the client's feelings and refer her to a support group. c. Reinforce that the disease can no longer be spread to other partners. d. Reassure the client that sexual activity will not be painful while on acyclovir.
An example of a vulnerable group experiencing multiple risk factors is:
a. Smokers who use chewing tobacco as well as cigarettes b. Substance abusers who test positive for human immunodeficiency virus (HIV) c. Persons with limited access to care because they live in a rural area d. New mothers needing information about baby and child care
Four-year-old David is placed in Buck extension traction for Legg-Calvé-Perthes disease. He is crying with pain as the nurse assesses that the skin of his right foot is pale with an absence of pulse. Which action should the nurse take first?
a. Notify the practitioner of the changes noted. b. Give the child medication to relieve the pain. c. Reposition the child and notify physician. d. Chart the observations and check the extremity again in 15 minutes.
A client receives a court order for commitment. Which of the following best exemplifies the concept of "least restrictive environment"?
A) Involuntary commitment to an outpatient community mental health center B) Medication administration for sedation so the client cannot get out of bed C) Placing the client in a locked, padded room in response to threats of self-harm D) Allowing the client to make the decision about whether treatment is necessary