A nurse is caring for a client with idiopathic thrombocytopenia purpura (ITP). What
intervention should be performed when caring for this client?
A) Instruct the client to avoid the use of an electric razor
B) Monitor the client for an increase in blood pressure
C) Inform the client about the adverse effects of cytotoxic agents
D) Watch the client for signs of unusual pallor
D
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A nurse records a pulse rate of 170 beats/minute on a patient's flow chart. For which of the following age groups would this be considered a normal reading?
A) Newborn B) Ten-year-old C) Adolescent D) Adult
A visitor asks you what is wrong with Mrs. DeRouge after she sees her leaving the physical therapy gym at your rehabilitation facility. What should you say?
A. "Ask the physical therapist if you can see her chart." B. "You will have to talk to the doctor to get that information." C. "I don't know what is wrong with her, but she sure looks bad, doesn't she?" D. "I can't discuss confidential information about any resident."
Autonomy
What will be an ideal response?
The nurse is providing care for a patient being discharged on opioid therapy. What should the nurse include when teaching the patient about this medication? (Select all that apply.)
a. "You may feel sleepy when you take this medication." b. "If you experience nausea, stop taking the medication." c. "Avoid driving or operating machinery for a few days." d. "It is important to drink 8 to 10 glasses of fluid each day." e. "Fiber or bulk laxatives may be needed to prevent constipation." f. "You should wait as long as possible to take your pain medication to prevent addiction."