A client has returned to the nursing unit after esophagogastroduodenoscopy (EGD). Which action by the nurse takes priority?
a. Keep the client on strict bedrest for 8 hours.
b. Delegate taking vital signs to the nursing assistant.
c. Increase the IV rate to flush the kidneys.
d. Assess the client's gag reflex.
D
The client will receive moderate sedation and a numbing agent during the procedure. The client may temporarily lose his or her gag reflex; this should be checked before the client is permitted to eat anything by mouth. The client does not require strict bedrest for 8 hours or increased fluid to flush the kidneys. The nurse can delegate the taking of vital signs to unlicensed assistive personnel (UAP) such as the nursing assistant, but this is not the priority.
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The nurse performing a family assessment determines that the parents jointly make decisions regarding family rules and apportion the family resources in ways that serve the interests of all members
Plans for the future exist but are flexible and allow for changing circumstances. The three teenage children participate in discussions but do not have responsibility for decisions. The assessment the nurse should document is: a. family management function is appropriate and adequate. b. boundary function makes a distinction between individuals. c. communication function of the family is healthy. d. emotional-supportive function is dominated by conflict.
The nurse is explaining to the parents of a school-age child with type 1 diabetes mellitus how the health care provider determines the daily insulin dose
The child is prescribed to receive 0.5 units/kg of body weight of intermediate-acting and short-acting insulin at the ratio of 2:1 . Because the child weighs 66 lb, how many units of the short-acting insulin will the health care provider prescribe? (Enter numeric value only.)
What is the recommended storage temperature for this medication?
What will be an ideal response?
A 16-year-old academically gifted boy is about to graduate from high school early, because he has completed all courses needed to earn a diploma. Within the last 3 months, he has experienced panic attacks that have forced him to leave classes early and occasionally miss a day of school. He is concerned that these attacks may hinder his ability to pursue a college degree. What would be the best response by the school nurse who has been helping him deal with his panic attacks?
a) "It is natural to be worried about going into a new environment. I am sure with your abilities you will do well once you get settled." b) "You are putting too much pressure on yourself. You just need to relax more and things will be alright." c) "It might be best for you to postpone going to college. You need to get these panic attacks controlled first." d) "It sounds like you have a real concern about transitioning to college. I can refer you to a health care provider for assessment and treatment."