A client is admitted in a comatose state after ingesting a lethal dose of diazepam. The intern tells the
nurse "Give him 30 mL of ipecac stat, then help me start this IV.". The nurse should
a. do as ordered.
b. ask if the IV should be the first priority.
c. question the dose of ipecac to be given.
d. refuse to give the ipecac.
D
A comatose client should receive nothing by mouth because of the lack of ability to swallow and an
absent gag reflex.
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A community health nurse is preparing a presentation for a community group about crisis. Which of the following would the nurse include as the first event?
A) Disruption in equilibrium B) Coping activities C) Force disrupting the balance D) Alteration in function
A patient has been given an antithyroid drug called propylthiouracil. What appropriate nursing implementations should be included?
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A nurse is caring for a patient diagnosed with pericarditis
Due to this patient's risk for cardiac tamponade, the nurse is vigilant about assessing for which findings? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Heart sounds that are more difficult to auscultate 2. A palpable lift at the third intercostal space just left of the midclavicular line 3. Decreased systolic blood pressure 4. Visible distention of jugular veins 5. Patient report of headache
The faith community nurse who is available for health counseling with teens before and after youth activities is practicing which level of prevention?
a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Assessment