Before initiating DMPA injection, it is most important that the nurse
a. inquire about a history of drug allergic reactions
b. obtain a urine hCG
c. check the client's Pap smear results
d. take the client's vital signs
A
Hypersensitivity to DMPA may occur and should be assessed for prior to administering DMPA. Obtaining a urine hCG, checking the client's Pap smear results, and taking the client's vital signs are not necessary interventions with the use of DMPA.
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A patient in the intensive care unit is surprised to learn that he has an elevated blood glucose level since he has not been diagnosed with diabetes. How should the nurse explain this elevation?
1. "Many people are not diagnosed with diabetes until they are admitted to an intensive care unit." 2. "Increasing blood glucose is the body's way of making sure there is enough energy for brain functioning." 3. "Many people have diabetes but are not aware of it." 4. "When stressed, the body releases more glucose into the blood, raising the blood glucose level."
The nurse would consider which of the following clients to be at greatest risk for postpartum hemorrhage?
A) the client who delivered a preterm infant at 34 weeks' gestation B) the client who delivered twins by cesarean section C) the client who has a temperature of 100.1F just after delivery D) the client who labored for 15 hours with a 45-minute second stage
The nurse caring for clients in an acute care facility recognizes that attending to the safety of each client is most likely to result in: (Select all that apply.)
1. Freedom from illness 2. A shorter hospital stay 3. Attention to the basic human needs 4. A well-founded sense of well-being 5. Preservation of the optimal functioning level 6. Minimal exposure to bacterial cross-contamination
The parenteral route of a drug is ordered. The nurse administers this medication:
A. Orally B. Topically C. Sublingually D. Intramuscularly