Which nursing action should be implemented when performing skin testing?
a. Select an 18-gauge needle.
b. Inject 1 mL intradermally.
c. Check the site in 2 to 3 days for swelling.
d. Wrap the site with a pressure dressing.
C
A cell-mediated response will show swelling in 2 to 3 days, indicating antibodies working at the site of the exposure to an antigen.
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A school-age child with rheumatoid arthritis asks the nurse to recommend an exercise activity. Which of the following would be the most appropriate for the nurse to recommend?
1. Softball 2. Football 3. Swimming 4. Basketball
The nurse is planning care for a family with 3 children, one of whom is diagnosed with cerebral palsy. The child is being cared for in the home and is on a home ventilator
Which of the following would the nurse include in the plan for this family? 1. Meals-on-Wheels 2. Respite care 3. Food stamps 4. Psychological counseling
The nurse is caring for a client who has been in a coma for several days. Appropriate care for the client's eyes includes:(Select all that apply) Standard Text: Select all that apply
1. Clean the eyes with saline solution and cotton balls 2. Instill artificial tears into lower eyelids as ordered 3. Monitor eyes for exudate 4. Eyes require no special hygiene 5. Administer moist compresses every 2-4 hours
A client with suspected syndrome of inappropriate antidiuretic hormone (SIADH) has a serum sodium of 114 mEq/L. Which action by the nurse is best?
a. Consult with the registered dietitian about increased dietary sodium. b. Restrict the client's fluid intake to 900 mL/24 hr. c. Handle the client gently by using turn sheets for repositioning. d. Instruct the nursing assistants to measure intake and output.