A patient lives on the streets with no known address. He has been scheduled for a return visit to complete his immunization record. How should the nurse handle this patient's injections, since she knows that the patient might not return?
1. Give the most important injection first.
2. Give several injections at different sites.
3. Set up a local site and meet the patient there.
4. Have the mission call when the patient comes in to eat.
2
The national health authorities recommend that the nurse give a person several injections at dif-ferent sites if the patient is not likely to return for follow-up immunizations.
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The husband of a 74-year-old female patient is distraught at her recent diagnosis of Alzheimer's disease
In an effort to identify a cure, the husband is conducting extensive online research as well as speaking with each member of the care team about possible treatments. How can the nurse best respond to the husband's inquiry? A) "There is presently no cure for Alzheimer's disease but highly promising treatments are expected.". B) "Eliminating any exposure to aluminum or mercury has been shown to have a positive impact on people in the early stages of Alzheimer's.". C) "There isn't any cure currently available for Alzheimer's but some drugs have been shown to slow the progression of the disease.". D) "Drugs that affect the neurotransmitters in the brain are now available that can cure many early cases of Alzheimer's.".
A client with Paget's disease and severe hypercalcemia is receiving mithramycin intrave-nously. Which of the following should the nurse monitor for complications of this therapy?
A. Pulse oximetry B. T3 and T4 levels C. Liver enzyme levels D. Heart rate and rhythm
When caring for the client with diabetic ketoacidosis (DKA), the nurse monitors the blood urea nitrogen (BUN) level for which of the following reasons?
1. Polyuria leads to dehydration and renal impairment. 2. Clients with DKA frequently develop chronic renal failure. 3. The BUN is frequently lower in clients with DKA than clients with HHNS. 4. Acidosis causes the BUN to elevate.
Which of the following assessment findings would indicate to the nurse that a client is experiencing stress?
1. Reading a magazine in the waiting room 2. Tapping foot and chewing on finger nail 3. Checking cellular phone for messages 4. Talking with others and recalling a humorous incident