While examining a client, the nurse notes fasciculation of the tongue. Which of the following would the nurse do next?
A) Have the client do a 24-hour diet recall
B) Review the client's medication regimen
C) Prepare the client for a thyroid screening
D) Assess the client's cranial nerves
D
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A nurse is caring for a 92-year-old female patient who was admitted to the hospital 1 day after she had outpatient cataract surgery
The patient who lives in an assisted living facility became very confused and agitated and was found wandering in the lobby of the building in her nightgown. She refused to return to her room and stated that there were "bad men" in her room. The patient has a history of dementia, diabe-tes, heart failure, and is on seven different medications. She was widowed 1 year ago. The nurse suspects that she has delirium. What are the patient's risk factors for delirium? (Select all that ap-ply.) a. Age of 92 b. Residing in an assisted living facility c. History of dementia d. Female gender e. Recent cataract surgery
A teenage mother discusses with the school nurse the possibility of having a second child. Which risk factor would place this client at higher risk for having a second pregnancy?
a. Remaining in school b. Reporting an unplanned first pregnancy c. Being from a small family d. Having a disadvantaged background
The client and nurse have set a goal that the client will demonstrate proper technique for self-administration of epoetin alfa (Epogen) before the client is discharged from the hospital
Which client actions would the nurse evaluate as indicating this goal is met? Standard Text: Select all that apply. 1. The client shakes the vial prior to drawing up the medication. 2. The client warms the vial by holding it for a few minutes before drawing up the medication. 3. The client draws the appropriate amount of medication into the syringe. 4. The client saves the remaining medication in the vial for the next dose. 5. The client verbalizes a plan to keep the medication vials in a cabinet out of the reach of children.
The client who has undergone breast surgery is struggling with issues concerning her sexuality. What is the best way for the nurse to address the client's concerns?
A. Allow the client to bring up the topic first. B. Remind the client to avoid sexual intercourse for 2 months after the surgery. C. Suggest that the client wear a bra during intercourse. D. Teach the client that birth control is a priority.