In which position is the patient usually placed for a thoracentesis?
a. Dorsal recumbent position
b. Supine with the arms over the head
c. Sims' position on the affected side
d. Sitting and leaning over a bedside table
D
Place the patient in the orthopneic position (upright position with arms and shoulders raised and supported on a padded over-bed table). If the patient is unable to tolerate this position, assist the patient to a side-lying position with the affected lung positioned upward. This expands the intercostal space for needle insertions.
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The home health nurse observes that there is still about half a month's supply of Glucophage in the medicine bottle at the end of the month. What question would be the most appropriate for the nurse to ask?
a. "Do you know what inadequately treated diabetes can do?" b. "Have you told your physician you are not taking your prescription?" c. "Are you trying to make the medication stretch for 2 months?" d. "Why are you being so noncompliant?"
During assessment of the patient with fibromyalgia, the nurse would expect the patient to report which of the following (select all that apply)?
a. Sleep disturbances b. Multiple tender points c. Cardiac palpitations and dizziness d. Multijoint pain with inflammation and swelling e. Widespread bilateral, burning musculoskeletal pain
The nurse keeps which therapeutic goals in mind when teaching a client with allergic rhinitis about prescribed medications?
Standard Text: Select all that apply. 1. Prevent its occurrence. 2. Relieve symptoms. 3. Decrease the risk of infection. 4. Treat evidence of infection. 5. Avoid the use of medications that cause drowsiness.
After administering the varicella virus vaccine to a 12-month-old child, the nurse should counsel the parent to:
1. give the child aspirin for any fever that may develop. 2. avoid administering any aspirin or salicylates for 6 weeks. 3. return for the second vaccination in 12 months. 4. return in 6 months for the second vaccination.