Which of these steps in taking a blood pressure is correct? Choose all that apply
1) Use a bladder that encircles 40% of the arm.
2) Wrap the cuff snugly around the client's arm.
3) Ask the client to hold the arm at heart level.
4) Have the client sit with feet flat on the floor.
ANS: 2, 4
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The nurse is preparing to administer a booster shot to a young boy who appears to be afraid of injections and says, "Boys aren't supposed to cry!" Which barrier to communication does this situation illustrate?
a. belittling c. clichés b. changing the subject d. stereotyping
Which of the following is the treatment of choice for treating heroin addicts during withdrawal?
a. Acamprosate b. Benzodiazepines c. Methadone d. Naltrexone
A client has a physician's order for n.p.o (nothing by mouth) following abdominal surgery to repair a bowel obstruction. The client has a nasogastric tube inserted to low intermittent suction. The client requires intravenous therapy for what purpose?
A) replace fluid and electrolytes B) administer blood products C) provide protein supplements D) treat the client's infection Ans: A
The patient has a patient-controlled analgesia (PCA) pump following surgery. The nurse keeps naloxone (Narcan) in the patient's room as per protocol. What does the nurse recognize as the rationale for this protocol?
1. Naloxone (Narcan) enhances the effect of the opioid in the patient-controlled analgesia (PCA) pump and increases analgesia. 2. Naloxone (Narcan) is the antidote if an anaphylactic reaction to the opioid in the patient-controlled analgesia (PCA) pump occurs. 3. Naloxone (Narcan) is available to treat any systemic side effects, like constipation, of the opioid in the patient-controlled analgesia (PCA) pump. 4. Naloxone (Narcan) will reverse the effects of the narcotic in the patient-controlled analgesia (PCA) pump if an overdose occurs.