The nurse assesses a client as having a tactile sensory impairment. Which of the following should be included in this client's plan of care?
a. Keep the area clear around the bed to prevent tripping.
b. Instruct to date foods to avoid eating something that might be spoiled.
c. Instruct to not use ice or heating pads on the body to prevent burning.
d. Instruct in the need to have a smoke alarm installed in the home.
ANS: C
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A patient has been scheduled for an ultrasound of the gallbladder the following morning. What should the nurse do in preparation for this diagnostic study?
A) Have the patient refrain from food and fluids after midnight. B) Administer the contrast agent orally 10 to 12 hours before the study. C) Administer the radioactive agent intravenously the evening before the study. D) Encourage the intake of 64 ounces of water 8 hours before the study.
Which three assessments make the Cushing triad?
1) Widening pulse pressure, bradycardia, and irregular respiratory pattern 2) Decreased pulse pressure, tachycardia, and irregular respiratory pattern 3) Confusion, aphasia, and tachycardia 4) Elevated blood pressure, bradycardia, and aphasia
The nurse is caring for a client with schizoid personality trait. When developing the plan of care for the client, which of the following would the nurse most likely include?
A) Social skills training B) Anger management training C) Relaxation techniques D) Coping skills training
Itching is a side effect of morphine administration. It does not necessarily indicate that a patient has an allergy to morphine
a. true b. false