Which assessment is necessary for the nurse to make prior to administering an IV medication?
A. Determine the client's oral intake
B. Check for blood return from the catheter
C. Observe for redness or swelling at the IV site
D. Assess for the presence of a heparin lock
Answer: C. Observe for redness or swelling at the IV site
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While discussing the history of a 6-month-old infant, the mother tells the nurse that she took a significant amount of aspirin while she was pregnant. What question would the nurse want to include in the history?
a. "Does your baby seem to startle with loud noises?" b. "Has your baby had any surgeries on her ears?" c. "Have you noticed any drainage from her ears?" d. "How many ear infections has your baby had since birth?"
A woman has a miniature dachshund that sleeps with her. Her newlywed husband has allergic rhinitis. The nurse should instruct the couple to:
A) Remove the pet from the bedroom B) Allow the dog in bed but vacuum daily C) Sleep with a down comforter and pillows D) Sleep with the windows open
The healthcare team works together to determine if a client manifesting signs of a mental disorder has an organic or functional disorder. Which of the following are organic disorders? Select all that apply
A) Hyperthyroidism B) Infection C) Bipolar disorder D) Brain lesion E) Schizophrenia F) Huntington's disease
Which patient with vascular trauma is a candidate for immediate emergency surgery?
a. 54-year-old with fractured humerus b. 36-year-old with a ruptured renal artery c. 18-year-old with a contusion of the pelvis d. 67-year-old with a chronic subdural hematoma