A patient informs the nurse that his urine is starting to look discolored. How should the nurse respond?
a. "Don't worry, that is a normal side effect of your medication."
b. "That is an unusual side effect. I'll notify your provider immediately."
c. "You need to drink more fluids to flush the medication from your system."
d. "Other than the discoloration, has anything changed with your urination?"
ANS: D
The nurse wants to gather additional assessment information about the change in urine color. Information is insufficient to recommend drinking more fluids, or to know whether this is a normal or abnormal side effect. The other options do not provide a focused assessment and are not therapeutic responses.
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A crackling or rubbing sound heard when the mouth is open may represent a disorder of:
1. the temporomandibular joint. 2. cranial nerve VII. 3. cranial nerve V. 4. the ear canal.
The nurse is assigning an unlicensed assistive personnel (UAP) to work with a client who has a hearing aid. Which action by the UAP is inconsistent with appropriate delegation? The nurse asks the UAP to
a. cleanse the ear mold if needed with mild soap and water. b. evaluate how well the client understood the nurse's earlier instructions. c. help the client insert the ear mold into the ear. d. turn the hearing aid off before removing it at bedtime.
The nurse is teaching a group of nursing students about the use of antipsychotic drugs for antiemetic purposes. The nurse will explain that, when given as antiemetics, these drugs are given
a. in smaller doses. b. less frequently. c. with anticholinergics. d. with antihistamines.
Nurses in clinical areas can choose to write and submit scholarly papers about case studies, EBP, and _____________ projects
a. personal interest b. quality management c. laboratory-based d. national research