What must a nurse do before altering the arrangement of furniture in the home to facilitate care?
A) Nothing; the nurse may move the furniture if needed.
B) Document the need to move the furniture.
C) Tell the client that the furniture has to be moved.
D) Ask the client's permission to move the furniture.
Ans: D
The nurse may believe the furniture in the client's home needs to be rearranged to allow the use of equipment and to remove safety hazards, but the client should give permission before any changes are made. It is not necessary to document the need to move furniture.
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A client complains of a cloudy vaginal discharge with a slight odor. Microscopic examination reveals epithelial cells, leukocytes, and normal vaginal flora. Given these findings, the nurse would assesses that the discharge is
a. candidiasis. b. Chlamydia. c. Gardnerella. d. leukorrhea.
The client was given 15 mg of morphine IM. When the nurse checks the client for pain relief 1 hour later, the client is sleeping and has a respiratory rate of 8 breaths per minute. What is the nurse's best first action?
A. Attempt to arouse the client by calling his or her name and lightly shaking the client's arm. B. Administer oxygen by mask and apply an apnea monitor. C. Document the finding as the only action. D. Notify the physician.
A patient diagnosed with bipolar disorder is in the maintenance phase of treatment. The patient asks, "Do I have to keep taking this lithium even though my mood is stable now?" Select the nurse's appropriate response
a. "You will be able to stop the medication in about 1 month." b. "Taking the medication every day helps reduce the risk of a relapse." c. "Usually patients take medication for approximately 6 months after discharge." d. "It's unusual that the health care provider hasn't already stopped your medication."