The patient arrives at the emergency department complaining of severe abdominal pain and vomiting. The patient is severely dehydrated. The physician orders the patient to receive IV fluids for the dehydration and an IV antiemetic
However, the patient states that she is fearful of needles and adamantly refuses to have an IV started. The nurse explains the importance and rationale for the ordered treatment, but the patient continues to refuse. The nurse should: a. Summon the nurse technician to hold the arm down while the IV is inserted
b. Use a numbing medication before inserting the IV
c. Document the patient's refusal and notify the physician
d. Tell the patient that she will be discharged without care unless she complies
C
The Patient Self-Determination Act, effective December 1, 1991, requires all Medicare- and Medicaid-recipient hospitals to provide patients with information about their right to accept or reject medical treatment.
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The nurse has completed a teaching session for a client with a tracheostomy. Documentation of the session should include which of the following? Select all that apply
1. Diagnosed learning needs 2. Supplies required 3. Client outcomes 4. Need for additional teaching 5. Topics taught
A neonate is born with gastroschisis. The nurse should be the most concerned about which of the following when caring for the child?
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The patient at term has a suspected small pelvis. The fetus has an estimated weight of 4,200 g (9 pounds, 4 ounces). Spontaneous labor has begun, and the patient is now at 6 cm
The nurse understands that the most important nursing action for this patient is to: 1. Assist the patient to squat during the second stage. 2. Encourage oral fluids and carbohydrate intake. 3. Assess the cervix for change every eight hours. 4. Inform the couple that labor might be prolonged.
The nurse is providing education to a patient who has been prescribed both an antacid and ranitidine (Zantac). Which instruction should the nurse give the patient about taking the medications?
a. "Take the antacid 1 hour after the ranitidine." b. "The antacid and ranitidine should be taken at the same time for better effect." c. "Take the antacid 15 minutes before the ranitidine." d. "Take the antacid 30 minutes after the ranitidine."