You are caring for a person who is comatose. You should do the following except:
a. Knock before entering the person's room
b. Tell the person your name, the time, and the place every time you enter the room
c. Explain what you are going to do
d. Leave the room quietly without telling the person
D
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The nurse is planning a safety program for high school students. To what will the nurse relay that most accidental deaths in adolescence are related?
a. Firearms b. Automobiles c. Drowning d. Diving injuries
A patient has begun taking phenobarbital after experiencing several seizures and is currently receiving 60 mg PO twice daily. After two weeks of therapy, the patient has a serum drug level of 30 mcg/mL and reports feeling drowsy much of the day
What will the nurse tell this patient? a. "I will contact your provider to discuss changing your dosing to once daily to mi-nimize the drowsiness." b. "The drug level is low and you may need a higher dose, but taking it three times daily will reduce the drowsiness." c. "This side effect is expected and should decrease over time. You should avoid driving in the meantime." d. "Your lab work shows a higher than nor-mal level of the drug and your provider will probably lower your dose."
A nurse is caring for a client who has a diagnosis of Impaired skin integrity, related to immobility, secondary to neurologic dysfunction. Which should the nurse identify as an observation intervention?
1. Turn and reposition client every 2 hours. 2. Cushion bony prominences with soft foam while in bed. 3. Provide ongoing assessment for skin breakdown every shift. 4. Apply lotion to dry skin twice daily.
The nurse is caring for a client scheduled to undergo insertion of a percutaneous endoscopic gastrostomy (PEG) tube. The client asks the nurse to explain how a PEG tube differs from a gastrostomy tube (GT). Which explanation best describes how they are different?
A. diameter of the tubes B. procedure for feedings C. method of insertion D. location of the tubes