Describe how to administer an intramuscular injection.
What will be an ideal response?
Answers will vary
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A nurse performs Homans maneuver by flexing the knee and sharply dorsiflexing the foot. What response indicates a positive Homans sign?
a. Cramping of the toes b. Resisting dorsiflexion c. Pain in the calf area d. Blanching of the sole
A patient with myocardial infarction is treated with intravenous morphine sulfate for chest pain. Which nursing action has the highest priority when administering this medication?
1. Determine the patient's sedation level. 2. Check breath sounds every 15 minutes. 3. Observe for signs of opioid addiction. 4. Assess for medication infiltration into tissues.
Advanced directives are legal documents provided under the federal Patient Self-Determination Act (PSDA) of 1990, giving clients the right to have and prepare advanced directives by all federally funded healthcare facilities
These legal documents give the clients an opportunity to state their wishes in advance for life-sustaining treatment if, at some time, they are unable to make those informed decisions. a. Describe the similarities and differences between a living will and a durable power of attorney (DPOA). b. If the living will on the client's chart states "do not resuscitate" but there is no physician's order in the chart, does the DNR preference on the living will stand when the person is in a code situation? Why or why not?
One of your patients is not responding to curative treatment. Implementing which of the following would be most appropriate at this time?
a. Hospice care c. Terminal care b. Palliative care d. Respite care