A client who has had a traumatic brain injury is physiologically stable, but remains in a coma. Caregivers are participating in a coma stimulation program with this client. Which action is correct for this situation?
A)
Provide visual and tactile stimulation concurrently with auditory background.
B)
Ensure the client has sleep/rest periods alternating with sensory stimulation.
C)
Provide continuous auditory stimulation through music tapes.
D)
Limit stimulation to a 5–10-minute session.
B
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Which of the following activities are involved when delegating tasks to other members of the nursing team? Select all that apply
a. Supervising patient care that is given b. Determining the skill mix of unit personnel c. Assessing the needs of the clients involved d. Deciding which tasks to assign to a team member
Laboratory monitoring for patients on angiotensin-converting enzyme inhibitors or angiotensin II receptor blockers should include:
1. White blood cell counts with the drug dosage increased for elevations above 10,000 feet 2. Liver function tests with the drug dosage stopped for alanine aminotransferase values twice that of normal 3. Serum creatinine levels with the drug dosage reduced for values greater than 2.5 mg/dL 4. Serum glucose levels with the drug dosage increased for levels greater than 120 mg/dL
A client is being prepared for the delivery of an intravenous chemotherapeutic agent. The client asks why the drug cannot be given by mouth. The nurse explains that an advantage to intravenous delivery is that:
1. It protects the client from environmental infections. 2. A consistent serum drug level can be obtained. 3. It is administered outside of the home. 4. It can protect the veins during administration.
The laboring patient has experienced spontaneous rupture of membranes. The fluid is meconium-stained. The fetal heart tones are 100–105. Which nursing action is most important?
1. Change the mother's position from Fowler's to left lateral. 2. Insert a Foley catheter with the assistance of another nurse. 3. Notify the surgical team of an impending cesarean. 4. Decrease the IV of lactated Ringer's solution to 50 ml/hour.