Which actions should the nurse include in a care plan to effectively assist the patient with a total laryngectomy to maintain airway clearance? (Select all that apply.)
a. Turning, coughing, and deep breathing
b. Placing the patient in a semi-Fowler posi-tion
c. Maintaining hydration
d. Attaching a tracheostomy collar
e. Providing a method to communicate
A, B, C, D
Providing a communication method has high priority, but it is not related to airway clearance.
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An order is written for a drug that is an adjunctive therapy for Parkinson's disease. The nurse reviews the order before administering the drug. What medication orders should the nurse question?
A) Levodopa 0.5 to 1 g/d orally in 2 divided doses B) Amantadine (Symmetrel) 200 mg orally b.i.d. C) Tolcapone (Tasmar) 400 mg orally t.i.d. D) Selegiline (Carbex) 10 mg/d orally
Which of the following contributing factors can result in chronic sensory deprivation?
a. misplaced glasses in nearsighted client c. analgesic medication b. blindness d. change in client's hospital room
A nurse is working in community-based nursing. Which competency is priority for this nurse?
a. Caregiver b. Collaborator c. Change agent d. Case manager
You review his other medications, including atorvastatin (Lipitor). Which statement by R.M. indicates a need for further teaching about this medication?
a. "I will take this drug at night." b. "I will try to exercise more each week." c. "I like to take my medicines with grapefruit juice." d. "I will call the doctor right away if I experience muscle pain."