A nurse is caring for a client with pneumonia. What should be included in the client's
nursing care plan?
A) Instruct the client to take regular and timely breaths
B) Restrict the client's fluid intake to juices with vitamin C
C) Encourage the client to lie in the supine position a few hours a day
D) Maintain orthopneic position when possible
D
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A nurse is teaching a patient about her prescription for Tylenol #3 that she will take at home. This medication consists of acetaminophen and what other drug?
A) Codeine B) Acetylsalicylic acid (aspirin) C) Methadone (Dolophine) D) Tramadol (Ultram)
A nurse conducts a class for family caregivers of elderly relatives. A woman in the audience asks about her mother's frequent urinary tract infection. What changes should the nurse suggest to the family?
A) Make changes to the mother's diet to include eggs, cheese, and fish B) Direct the mother to perform Kegel exercise at least 10 times per day C) Establish a regular toileting schedule at least every 4 hours during the day D) Ensure that the mother has an annual Pap smear to maintain good genitourinary health
An 88-year-old patient with type 2 diabetes is brought to the emergency department by his daughter
The patient is found to have a blood glucose level of 623 mg/dL. The patient's daughter reports that the patient recently had a gastrointestinal virus and has been confused for the last 3 hours. The diagnosis of hyperglycemic hyperosmolar nonketotic syndrome (HHNS) is made. What nursing action would be a priority? A) Administration of anti-hypertensive medications B) Administering sodium bicarbonate intravenously for low bicarbonate levels C) Reversing acidosis by administering insulin D) Fluid and electrolyte replacement
A patient being followed for latent tuberculosis has been on INH therapy for 2 months. While reviewing the laboratory test results, the nurse notes that the liver function test results have be-come grossly abnormal
The nurse should instruct the patient to a. continue the drug unless jaundice, nausea, or itching develops. b. continue the drug and have liver function tests repeated weekly. c. stop the medication immediately, and other drugs will be prescribed. d. stop the drug and restart it when liver function returns to normal.