A pt is suspected of having MG and a tensilon test has been ordered. What does the nurse do to prepare the pt for the test?
a. ensure that the pt has a patent IV access
b. draw a blood sample and send it for baseline analysis
c. keep the pt NPO after midnight
d. have the pt void before the beginning of the test
Answer: a. ensure that the pt has a patent IV access
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An 82-year-old client who is recovering from a fractured pelvis requires a walker to move about the room
The client is also frequently disoriented, and the family has expressed displeasure that restraints are applied when the client is put to bed at night. Which of these responses by the nurse would be MOST therapeutic? a. "Do you want the client to fall again?" b. "Restraints are a temporary measure to be used while the client heals." c. "Restraints are necessary to prevent the client from harm." d. "I can make arrangements for a family member to stay in the room with the client."
You would expect to locate the apical impulse on 2-year-old Joseph's chest at the
a. fourth intercostal space just left of the midclavicular line. b. fourth intercostal space just right of the midclavicular line. c. fifth intercostal space just left of the midclavicular line. d. fifth intercostal space just right of the midclavicular line.
A new patient presents at the clinic and the nurse performs a comprehensive health assessment. The nurse notes that the patient's fingernail surfaces are pitted. The nurse should suspect the presence of what health problem?
A) Eczema B) Systemic lupus erythematosus (SLE) C) Psoriasis D) Chronic obstructive pulmonary disease (COPD)
Which nursing action is the best way to prevent adverse drug effects?
1. A thorough assessment 2. A thorough assessment and medication history 3. A thorough medication history 4. Checking vital signs prior to administering medication