Which would be the priority nursing intervention for a child who has been involved in an automobile collision and is now a paraplegic?
1. Develop and implement a teaching plan.
2. Discuss improvement for family coping.
3. Contact the family clergy for support.
4. Arrange for the child's friends to visit.
1
Rationale:
1. The child and family must learn self-care skills and lifetime management of this chronic condition.
2. Coping is not as important as physical care.
3. Clergy support is not as important as physical care.
4. Visitation and psychosocial support are not as important as physical care.
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a. Aspirin b. Packed red blood cells c. Vitamin K d. Protamine sulfate
You are checking a patient's blood pressure before administering an antihypertensive. The reading of 88/52 mm Hg. What is your best action?
a. Give the patient a cup of coffee and retake the blood pressure in 30 minutes. b. Document the finding as the only action and administer the drug as usual. c. Raise the side rails and apply oxygen by mask or nasal cannula. d. Hold the dose and notify the prescriber.
A nurse is educating a preoperative client on how to cough effectively. What can the nurse tell the client to do to facilitate coughing?
A) "Hold a pillow or folded bath blanket over the incision." B) "Get up and walk before you try to cough." C) "It would be best if you do not cough until you feel better." D) "When you cough, cover your nose and mouth with a tissue."
The nurse instructs the patient on the weight reduction drug Orlistat (Xenical, Alli) that he may experience which side effect(s)? (select all that apply.)
a. Diarrhea b. Hypoglycemia c. Abdominal cramping d. Constipation e. Nausea