A client is being admitted to the burn unit from another hospital. The client has an intraosseous IV that was started 2 days ago, according to the client's medical record. What does the admitting nurse do first?
A. Anticipates an order to discontinue the intraosseous IV and start an epidural IV
B. Calls the previous hospital to verify the date
C. Immediately discontinues the intraosseous IV
D. Nothing; this is a long-term treatment
Answer: A. Anticipates an order to discontinue the intraosseous IV and start an epidural IV
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During morning rounds, the nurse asks a patient, "How are you today?" The patient responds, "You today, you today, you today!" and mumbles the words. This speech pattern is an example of:
a. Echolalia b. Clanging c. Word salad d. Perseveration
A nurse is caring for a client receiving bismuth subsalicylate for the relief of diarrhea. Which of the following interventions should the nurse perform to promote an optimal response to the prescribed drug therapy?
A) Thoroughly mix and stir the drug before administering. B) Administer the drug after each loose bowel movement. C) Ensure the client receives adequate sunlight. D) Encourage the client to lightly exercise on a daily basis.
The nurse assesses a client with a temporal bone fracture and notices drainage from the right nare. Based on this assessment, which nursing diagnosis should the nurse document as priority for this client?
1. Potential for infection 2. Risk for pain 3. Risk for impaired sensory input 4. Foreign body
The nurse collaborates with the health care provider to decrease the negative effects of corticosteroids on growth and development in children by:
a. administering the dose early in the day. b. use of alternate-day therapy. c. administering the dose with milk or food. d. administering the drug orally, rather than by injection.