The nurse has provided education for a client prescribed a nonsteroidal anti-inflammatory. Which statement made by the client indicates an understanding of the information?
A. "I will make sure I increase my fluid intake."
B. "I may experience dark tarry stools."
C. "If I experience lightheadedness I will sit down immediately."
D. "I will cut back on my alcohol intake while taking this prescription."
Answer: A
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During the first interview with a restless young man, the nurse notices that he does not make eye
contact throughout most of the interview. The nurse can correctly assume that a. he is not to be trusted in what he says because he is evasive. b. he is feeling sad and cannot look the nurse in the eye. c. he is shy and the nurse must move slowly. d. more information is needed to draw a conclusion.
A client informs the nurse that he frequently experiences stress incontinence. Which intervention should the nurse plan for this client?
1. Provide client with absorbent pads or panty liners. 2. Have a bedside commode readily available to the client. 3. Catheterize the client every shift for residual urine. 4. Toilet the client every 2 hours.
Which manifestation would the nurse expect to find in a client with nonalcoholic fatty liver disease?
A) Ventricular hypertrophy B) Splenomegaly C) Hepatomegaly D) Hydronephrosis
A patient with suicidal impulses is on the highest level of suicide precautions. Which measures should the nurse incorporate into the patient's plan of care? Select all that apply
a. Allow no glass or metal on meal trays. b. Remove all potentially harmful objects from the patient's possession. c. Maintain arm's length, one-on-one nursing observation around the clock. d. Check the patient's whereabouts every hour. Make verbal contact at least three times each shift. e. Check the patient's whereabouts every 15 minutes, and make frequent verbal contacts. f. Keep the patient within visual range while he or she is awake. Check every 15 to 30 minutes while the patient is sleeping.