Which of the following nursing interventions should be implemented for a client with fractured ribs?
A) Encourage the client to cough every 2 hours.
B) Recommend that the client expectorate.
C) Instruct the client on elastic bandage.
D) Avoid immobilizing the client.
C
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The perinatal nurse is caring for a woman at 26 weeks' gestation who has a history of hypertension that has been well controlled. Today she presents with a blood pressure of 156/102 mm Hg and she has 2+ protein on urine dipstick
Which initial action by the nurse is most appropriate? A. Arrange admission to the high-risk OB unit. B. Instruct the woman on strict bedrest. C. Obtain a clean-catch urine sample. D. Prepare to administer IV anti-hypertensives.
Which of the following should be included in patient teaching to prevent constipation?
A) Establish a bowel routine based upon the fact that the best time for defecation is after dinner. B) Exercise may prolong a bowel movement. C) Consume high-residue, high-fiber foods. D) Resist the urge to defecate until the scheduled time.
The nurse is assessing a patient before administering an analgesic. What are some of the factors the nurse should consider? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. The patient is willing to receive medication after being advised about it. 2. The patient's vital signs are stable. 3. The partner agrees to use of the medication. 4. The patient has no known allergies to the medication. 5. The patient is aware of side effects of the medication.
A client is prescribed seizure precautions. The nurse places functioning oral suction equipment in the client's room because:
1. Suctioning might be needed to prevent the aspiration of oral secretions. 2. The client has difficulty swallowing liquids. 3. There was a spare oral suction set up, and the nurse did not want to return it to Engineering. 4. It helps when the client is brushing her teeth.