After a client has an arterial puncture, the nurse should do which of the following?
a. Apply heat to the puncture site.
b. Observe for rash and dyspnea.
c. Apply pressure for at least 5 minutes.
d. Encourage immediate range of motion.
ANS: C
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The nurse is planning patient education on obstructive sleep apnea (OSA)? Which will she include as a risk factor for OSA?
1. Opioid addiction 2. Hypertension 3. Narcolepsy 4. Hypersomnolence
What are standardized care plans considered?
a. Clinical pathways b. Evaluation tools c. Outcome criteria d. Nursing intervention based
A client has been diagnosed with an anxiety disorder. Which of the following would be considered a long-term outcome?
A) The client reports decreased anxiety within 24 hours. B) The client demonstrates an understanding of need for continued medication compliance by discharge. C) The client attends group therapy on day 2. D) The client reports an increased ability to concentrate within 4 hours.
A mental health nurse has been assigned to a client diagnosed with schizophrenia. Upon entering the room, the client yells, "Get out of here, you little brat! You're bigger than my kid sister, who is horrible!"
The initial action of the nurse would include which of the following? A) Sit down on the client's bed and initiate a conversation. B) Run out of the client's room yelling, "I need some help here!" C) Tell the client that her behavior is not acceptable and will not be tolerated. D) Slowly back out of the client's room, and summon for help.