A client is being admitted to the labor area with the diagnosis of eclampsia. Which actions by the nurse are appropriate at this time? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Tape a tongue blade to the head of the bed.
2. Pad the side rails.
3. Have the woman sit up.
4. Provide the client with grief counseling.
5. The airway should be maintained and oxygen administered.
2, 5
Explanation: 2. Side rails should be up and padded.
5. Suctioning may be necessary to keep the airway clear.
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A family member expresses concern to the nurse about behavioral changes in an elderly client. What information would cause the nurse to suspect a dementia disorder?
1. Decreased enjoyment of activities that were once enjoyable 2. Problems with preparing a meal or balancing a checkbook 3. Increased complaints of physical ailments 4. Sudden disturbed sleep–wake cycle
What drug would the nurse expect to administer to the patient experiencing malignant hyperthermia?
A) Orphenadrine B) Metaxalone C) Chlorzoxazone D) Dantrolene
A patient is admitted with the tentative diagnosis of polycythemia vera. Which assessment findings would the nurse evaluate as supporting that diagnosis?
1. Plethora 2. Fingers that are dark and cool to the touch 3. Report of night sweats 4. Complaint of shortness of breath 5. Hypotension
Pain, swelling, loss of both active and passive motion, locking, and deformity would be consistent with which of the following?
A) Articular joint pain B) Bursitis C) Muscular injury D) Nerve damage