The client receives topical vitamin A for the treatment of psoriasis. Which laboratory test will the nurse review when assessing for an adverse effect?
1. Serum calcium level
2. Hemoglobin level
3. Thyroid profile
4. Serum potassium level
1
Rationale 1: Vitamin A may increase serum calcium.
Rationale 2: There is no reason to assess the hemoglobin level.
Rationale 3: There is no reason to assess the thyroid profile.
Rationale 4: There is no reason to assess the serum potassium level.
Global Rationale: Vitamin A may increase serum calcium. There is no reason to assess the hemoglobin level, thyroid profile, or serum potassium level as these are not affected by vitamin A.
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A postoperative client prescribed pain medication every 4 to 6 hours is requesting medication every 6 hours. At 4 hours the client's pain level is 8 on a rating scale of 1 to 10
The nurse decides to give the pain medication now. What does this nurse's action exemplify? A) Meeting a client goal B) Time management skills C) Prioritizing the client's care D) A response to a change in the client's condition
To prevent development of the complication constipation in a postoperative client, you would have the client do which of the following?
1. Drink plenty of coffee and sit in a chair four times a day. 2. Ambulate in the room twice a day and eat a high-fiber diet. 3. Drink up to 3000 mL of fluid daily, and ambulate. 4. Undergo digital rectal stimulation daily.
An 84-year-old client with diabetes is admitted for insulin regulation. Which of the following blood pressure, pulse, and respiration measurements, respectively, is considered to be within the expected limits for a client of this age?
1. BP = 138/88 mm Hg, P = 68 beats/min, R = 16 breaths/min 2. BP = 104/52 mm Hg, P = 68 beats/min, R = 30 breaths/min 3. BP = 108/80 mm Hg, P = 112 beats/min, R = 15 breaths/min 4. BP = 132/74 mm Hg, P = 90 beats/min, R = 24 breaths/min
A nurse is assisting a client with a closed chest tube drainage system in bathing. As the nurse is turning the client onto his side, the chest tube is disconnected. What should the nurse do first?
A. Call the health care provider B. Clamp the chest tube with a Kelly clamp C. Instruct the client to inhale and hold his breath D. Submerge the end of the chest tube in a bottle of sterile water