An elderly client who was admitted with a severe head injury passes away at the
healthcare facility. Which nursing procedure should the nurse consider when caring for
the client's body and family members?
A) Place a clean sheet over the client's body and face
B) Light the room brightly when the family members visit
C) Allow the family members to see the body immediately
D) Allow family members to stay in the room as long as they wish
D
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The healthcare provider has prescribed a nitroglycerine (Nitrodur) patch for the client. The nurse understands that which of the following is the best outcome for this client as it relates to use of the medication?
A. Client will be able to identify the expiration date of the medication prior to discharge. B. Client will verbalize three side effects of the medication prior to discharge. C. Client will state the reason for receiving the medication prior to discharge. D. Client will demonstrate correct application of the patch prior to discharge.
You are assisting a patient to ambulate following surgery. Supported with the gait belt, the patient takes several slow, steady steps in the hallway. Suddenly, the patient says "I feel so dizzy" and begins to fall backwards. Which of the following is appropriate for care of a falling patient?
A. Using the gait belt, pull the patient close to you. B. Step aside so that a falling patient does not hurt your back. C. Let go of the gait belt and quickly grab a wheelchair to support the patient. D. Keep your back straight and feet close together to catch the patient.
A patient is undergoing testing to differentiate her airway disorder as being restrictive or obstructive. The nurse would evaluate a normal result on which test to indicate a restrictive disorder is present?
1. Vital capacity 2. Tidal volume 3. Minute ventilation 4. Forced expiratory volume
The nurse is providing home care instructions for a 13-year-old girl recently diagnosed with systemic lupus erythematosus. Which of the following responses indicates a need for further teaching?
A) "I need to wear sunscreen in the summer to prevent rashes." B) "I need to eat a healthy diet, exercise, and get plenty of sleep." C) "I need an eye examination every year." D) "I need to be careful when it is cold; I should always wear gloves."