Before administering an opiate medication, what will the nurse assess?
A) The patient's weight
B) The patient's heart rate
C) The patient's respiratory rate
D) The patient's drug tolerance
C
Feedback:
Check the rate, depth, and rhythm of respirations before each dose. If the patient's heart rate is slower than 12 beats per minute, delay or omit the dose and report to the physician. Weight would be assessed before determining dosage. Heart rate would not be an essential assessment before administration. Drug tolerance is assessed by monitoring patient's response to the medication and could not be assessed before administration.
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Which statement is correct regarding the concept of ethics?
a. Ethics must be obeyed by the members of society. b. Ethics are enforced through the judicial system. c. The interests of society are the major consideration of ethics. d. Ethics are personal and involve a person's values.
Which of the following actions by a nurse would be most effective when dealing with a client with schizophrenia who is shouting and verbally aggressive?
A) Take the client's arms and gently but firmly guide him to a safe place. B) Approach the client with hands at her side and talk calmly to the client. C) Encourage the client to come into the dayroom and watch television. D) Ignore client's behavior unless it escalates or client threatens another person.
The nurse admits a child with a ventricular septal defect (VSD) to the unit. Which nursing diagnosis for this child is the most appropriate?
1. Impaired Gas Exchange Related to Pulmonary Congestion Secondary to the Increased Pulmonary Blood Flow 2. Deficient Fluid Volume Related to Hyperthermia Secondary to the Congenital Heart Defect 3. Acute Pain Related to the Effects of a Congenital Heart Defect 4. Hypothermia Related to Decreased Metabolic State
When the case manager contacts providers and negotiates services and price, which phase of the nursing process is used?
a. Assessment b. Diagnosis c. Planning/outcome d. Implementation