You have an order to administer acetaminophen (Tylenol) gr X to a client for headache. The tablets that are supplied contain 300 mg each. How many tablets would you give?
1. 1
2. 1½
3. 2
4. 3?
ANS: 3
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Which client does the nurse recognize as being at greatest risk for pressure ulcers?
a. Infant with skin excoriations in the diaper region b. Young adult with diabetes in skeletal traction c. Middle-aged adult with quadriplegia d. Older adult requiring use of assistive device for ambulation
Eight hours after presentation to the emergency department with reports of substernal chest pain, a client's laboratory results demonstrate myoglobin levels of 55 ng/mL. What does the nurse do next?
a. Prepare the client for an emergency coro-nary bypass graft surgery. b. Administer nitroglycerin to prevent further myocardial cell death. c. Assess the client to identify another po-tential cause of the chest pain. d. Provide client education related to com-plications of myocardial infarctions.
A patient brought into the emergency department tells the nurse that she does not need anything because she cannot pay for any health services. Which of the following should the nurse do to help this patient?
1. Find out what services are covered by Emergency Medical Treatment and Labor Act (EMTALA) and explain that the patient's care will be covered. 2. Provide paperwork for the patient to sign out of the hospital against medical advice. 3. Ask if there is anyone who can pick the patient up from the hospital. 4. Ask the health care provider for medication because the patient is confused.
There are implications for nurses for the concepts of false imprisonment, abandonment of care, invasion of privacy, and confidentiality. Who establishes the standards for confidentiality?
A) State Board of Nursing B) National Council of State Boards of Nursing C) Health Insurance Portability and Accountability Act (HIPPA) D) Patient Self-Determination Act