A patient on Depo-Provera states that she is not menstruating and, therefore, is unsure of the best time to perform BSE. Which response by the nurse is most appropriate?
1) "You should perform your BSE when you think you would be menstruating."
2) "You should perform your BSE on the day you receive your monthly injections.
3) "You should perform your BSE on the 1st day of each month."
4) "You should perform your BSE every Monday."
ANS: 3
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A nurse manager is providing a novice geriatric nurse with guidelines when encour-aging an older client to reminisce about their life and past experiences. Which sugges-tions will be included? Select all that apply
a. Don't correct the client even when you suspect the memory is incorrect b. When the focus remains on sad topics, assess the client for possible depres-sion c. Refrain from interjecting personal stories into the reminiscing process d. Expect and respect a degree of repetition e. Use close-ended questions to help focus the reminiscing
The nurse is caring for a patient with possible endocarditis. What is important for the nurse to consider when caring for this patient?
1. Endocarditis does not pose a high risk of damage to affected heart valves. 2. Patients with this disorder can be treated with open heart surgery to clean the heart valves. 3. The condition is unrelated to fever, so patients can be medicated with the prescribed antipyretic and observed. 4. Endocarditis can be prevented in patients at risk by administering antibiotics prior to procedures.
A patient who was unable to provide a medication history was admitted to the unit. The patient is receiving penicillin for treatment of an infection. The patient begins to wheeze
Upon assessing the patient, the nurse finds an edematous airway, bronchoconstriction, and a blood pressure of 88/47. The nurse's priority action should be to a. obtain suction and an oropharyngeal airway device. b. administer epinephrine (adrenalin). c. check the oxygen saturation and apply oxygen. d. administer IV fluids to increase the blood pressure.
Lunesta and Ambien fall in the ________ category.
Fill in the blank(s) with the appropriate word(s).