A client being treated for hypothyroidism has been admitted for pneumonia. Which activity does the nurse include as a priority in this client's care plan?
a. Monitor the client's IV site every shift.
b. Administer acetaminophen (Tylenol) for fever.
c. Ensure that working suction equipment is in the room.
d. Assess vital signs every 4 hours.
C
A client with hypothyroidism who develops another illness is at risk for myxedema coma. In this emergency situation, maintaining an airway is a priority. The nurse should ensure that suction is available in the client's room because it may be needed if myxedema coma develops. The other interventions are necessary for any client with pneumonia, but having suction available is a safety feature for this client.
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To accurately access blood pressure on a child, the nurse would select a cuff:
1. By the cuff label—infant, child, adult. 2. That covers 2/3 of the upper arm with a bladder that wraps around at least 80% of the circumference of the arm. 3. Based on availability as the size of the cuff will not influence the blood pressure. 4. That extends up to 50 % of the upper arm and the bladder covers 1/4 of the circumference of the arm.
The nurse is caring for a client who is to have minor surgery. The client asks, "Do you think I am going to die in surgery?" The nurse's best response would be which of the following?
1. "Oh, no, this is just minor surgery." 2. "We've never lost a client during this type of surgery." 3. "Most clients get nervous before surgery. What concerns you?" 4. "What makes you say that?"
Which home modification interventions are designed to enhance the ability of older adults to remain in their homes? (Select all that apply.)
a. A 36-inch-wide doorway b. Entryways with less than two steps c. Electrical outlets at chest level d. A bathroom on the first floor
The nurse caring for a newborn on a ventilator for acute respiratory distress syndrome (ARDS) informs the parents that the newborn is improving
Which data supports the nurse's assessment of the newborn's condition? A) Increased PCO2 B) Oxygen saturation of 92% C) Pulmonary vascular resistance increases D) Less than 1 mL/kg/hour urine output