What instruction is most important for the nurse to teach a client who is taking an anticholinergic agent to treat nausea and vomiting?
a. "Assess your stools for dark streaks."
b. "Do not take more than two doses of this medication."
c. "Brush your teeth and gargle to help with dryness in your mouth."
d. Check your heart rate and call the health care provider if it gets below 50 beats/min.
Answer: c. "Brush your teeth and gargle to help with dryness in your mouth."
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During a shift assessment, the nurse is assessing the point of maximum impulse (PMI). Where will the nurse best palpate the PMI?
A) Left midclavicular line of the chest wall at the seventh intercostal space B) Left midclavicular line of the chest wall at the fifth intercostal space C) Right midclavicular line of the chest wall at the seventh intercostal space D) Right midclavicular line of the chest wall at the fifth intercostal space
A nurse who is teaching a group of women about breast cancer would tell the women that:
1. risk factors identify more than 50% of women who will develop breast cancer. 2. nearly 90% of lumps found by women are malignant. 3. 1 in 10 women in the United States will develop breast cancer in her lifetime. 4. the exact cause of breast cancer is unknown.
The nurse is preparing to conduct a physical assessment as part of the nutritional assessment. Which tool will the nurse use during this process?
1) Otoscope 2) Ophthalmoscope 3) Measuring tape 4) Doppler ultrasound
A positive HIV antibody test indicates immunity to HIV
Indicate whether the statement is true or false