When assessing a client's I.V. insertion site, a nurse notes normal color and temperature at the site and no swelling. However, the I.V. solutions haven't infused at the ordered rate; the flow rate is slow even with the roller clamp wide open. When the nurse lowers the I.V. fluid bag, no blood returns to the tubing. What should the nurse do first?
a) Discontinue the I.V. infusion at that site and restart it in the other arm.
b) Irrigate the I.V. tubing with 1 ml of normal saline solution.
c) Elevate the I.V. fluid bag.
d) Check the tubing for kinks and reposition the client's wrist and elbow.
Answer: d) Check the tubing for kinks and reposition the client's wrist and elbow.
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During an assessment the population health nurse believes that a client who identifies with the GLBT community is a gender nonconforming individual. What did the nurse assess to make this clinical determination?
1. Prefers to have sexual relations with both sexes. 2. Does not confirm to societal gender expectations. 3. Client states being a woman trapped in a man's body. 4. Self-perceived gender is congruent with assigned birth gender.
In preparing the patient for abdominal surgery, the Assistive Personnel (AP) can perform which interventions? (Select all that apply.)
a. Vital signs b. Insertion of N/G tube c. Enema d. Height and weight e. Obtain operative consent f. Sterile gowning
What action can the mentor take to help reduce the impact of reality shock on the mentee during the shock or rejection phase?
a. Withhold personal transition stories. b. Encourage the mentee to discuss his or her feelings. c. Encourage mentees to keep their feelings to themselves during work hours. d. Ignore the feelings caused by reality shock.
Dr. Patrick diagnoses 65-year-old Alex with glaucoma. He advises Alex to start using eyedrops containing a certain type of drug that will stimulate Alex's pupils to constrict, thereby facilitating the better drainage of intraocular fluid from Alex's eyes. Which of the following types of drugs has Patrick most likely advised Alex to take?
A. A direct-acting drug B. A reversible anticholinesterase drug C. An anticholinergic drug D. An adrenergic drug