The nurse observes that the handgrip of the client with hypophosphatemia has diminished in strength since the last assessment 2 hours ago. What is the nurse's best first action?
A. Document the finding as the only action.
B. Assess respiratory status immediately.
C. Apply elastic wraps to the lower extremities.
D. Assess deep tendon reflexes.
B
Decreased handgrip strength indicates worsening of the hypophosphatemia and general muscle weakness. Muscle weakness can impair respiratory effort and reduce gas exchange to the point that the client becomes hypoxemic.
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A nurse who has a baccalaureate degree in nursing is interested in going to graduate school. The nurse is talking to a peer who is in a nurse practitioner program
Which of the following advice would be beneficial for this nurse in choosing a graduate program? 1. Perform an on-line search and look for the program that requires the least amount of time to obtain the degree. 2. Meet with faculty and students of various graduate programs. 3. Discuss the graduate schools with his physician. 4. Discuss the graduate schools in the area with a coworker.
A nurse recommends a regular exercise program for a patient who has difficulty sleeping. The patient asks how this will help. How would the nurse respond?
A) "The fresh air will stimulate your metabolism." B) "Improved sleep is one benefit of regular exercise." C) "Exercise can help you control your weight." D) "Take my word for it. It sure helped me."
The nurse reviews the nursing care plan of a client being seen in the mental health clinic and notes that the client is experiencing dysfunctional grieving after losing his spouse. Which is the appropriate outcome for the treatment plan for this client?
A. The client plans to attend a community grief group. B. The client reports that he is trying to use coping strategies. C. The client verbalizes an absolute need to spend time with friends. D. The client verbalizes the relationship between significant loss and depression.
The patient has a history of fibroid tissue in her breast and wants to limit her caffeine intake. The OTC products that she should avoid are;
A. mouthwashes B. cold sore products C. antacids D. analgesics