The nurse is caring for a client with dark-colored toe ulcers and blood pressure of 190/100. Which of these nursing actions should you delegate to the LPN/LVN?
A. Assess leg ulcers for evidence of infection.
B. Administer a clonidine patch for hypertension.
C. Obtain a request from the doctor for a dietary consult.
D. Develop a plan for discharge, and assess home care needs.
Answer: B. Administer a clonidine patch for hypertension.
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The abdominojugular reflux test determines the presence of
a. right ventricular failure. b. hypoxemia. c. liver failure. d. pitting edema.
The nurse includes which information about benign tumors when presenting an in-service on cancer?
a. They can wander far throughout the body. b. They are smaller than 2 cm. c. They retain a small nuclear-to-cytoplasmic ratio. d. They look different from the tissue they arose from.
A patient who has diabetes and uses insulin to control blood glucose has been NPO since midnight before having a knee replacement surgery. Which action should the nurse take?
a. Withhold the usual scheduled insulin dose because the patient is NPO. b. Obtain a blood glucose measurement before any insulin administration. c. Give the patient the usual insulin dose because stress will increase the blood glucose. d. Administer a lower dose of insulin because there will be no oral intake before surgery.
Identify an accurate statement about vitamins.
A. Vitamins are traditionally regarded as drugs. B. The human body synthesizes all the essential vitamins. C. Vitamins, like drugs, alter the physiological activity of living systems. D. It is impossible to develop a deficiency to most vitamins.