How would you instruct the nursing assistive personnel (NAP) to position K.B. in bed
and why?
What will be an ideal response?
Instruct the NAP to position him with the head of bed (HOB) elevated 30 to 45 degrees, and maintain
head and neck in neutral position (no flexion of neck). This will help control his ICP by promoting
venous drainage and helping to reduce cerebral edema.
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The client with heart failure is prescribed to take enalapril, an angiotensin-converting enzyme (ACE) inhibitor. Which of the following precautions or instructions should the nurse teach this client regarding drug therapy?
A. Avoid salt substitutes. B. Be sure to take this medication with food. C. Avoid aspirin or aspirin-containing products while on this medication. D. Do not take this medication if your pulse rate is below 74 beats/min.
A client's medical record indicates he has presence of the H. pylori antibody. The nurse understands the client:
A) will be at increased risk for diarrhea. B) has a current or past infection with H. pylori. C) will not need to be medicated for gastric reflux. D) has had a recent viral infection.
A clinic nurse is caring for a 32-year-old client who lost her father several years ago. The client continues to live with her mother because her mother makes her feel guilty about moving out of the house and leaving her "all alone"
The nurse recognizes that, in this example, boundaries between the parent and child subsystems have become: A) Rigid. B) Restructured. C) Enmeshed. D) Disengaged.
As a result of Harry Stack Sullivan, the nurse in virtually all residential and day hospital settings is involved in providing clients with:
A. Security operations B. Psychoanalysis C. Analysis of behavior patterns D. A psychotherapeutic environment