Patients with paraplegia and tetraplegia are at high risk for all of the following except
A) urinary tract infection.
B) contractures.
C) vertigo and edema.
D) pressure ulcers.
C
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The nurse is planning care for an older adult client with type 2 diabetes mellitus. Which nursing diagnosis would be most appropriate for this client?
A) Risk for Falls B) Risk for Infection C) Ineffective Tissue Perfusion: Cardiac D) Impaired Tissue Integrity
The LPN administered a medication to a client complaining of pain. When checking the armband and the medication administration record, there were no allergies listed
The client then informs the nurse that he told the admitting nurse that he was allergic to that medication. What documentation on the incident form would be the best option? A) "Medication is administered to client by mouth; states he has an allergy to the medication and causes hives." B) "The admitting nurse failed to document that the client has an allergy to the medication." C) "The client states he is allergic to the medication, but I really don't think so. I didn't see any hives." D) "I should have asked the RN if the client is allergic to any medication."
Two days after having coronary bypass grafting, a patient develops atrial fibrillation. The patient is tolerating the rhythm. What is the nurse's initial action?
1. Have the patient cough. 2. Do an electrocardiogram (ECG). 3. Increase the patient's IV rate. 4. Notify the health care provider.
The community health nurse manager is reviewing the charts of elderly clients. Which issue are these clients most likely to experience?
A. Adequate financial resources to purchase medications B. Senior services that provide transportation to health care appointments C. Multiple medications prescribed by different physicians D. Medicare that covers health care costs so no out of pocket expenses occur