The client has pancreatitis. Which client monitoring does the nurse implement for early detection of complications of pancreatitis?
1. Slow deep tendon reflexes.
2. Peaked T waves on EKG.
3. Hypotension with activity.
4. Positive Chvostek's sign
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4. The nurse monitors for Chvostek's sign as an indicator of hypocalcemia associated with pancreatitis. Chvostek's sign involves facial twitching because calcium plays a crucial role in nerve impulse transmission and muscle contractions.
1. Hyporeflexia is an indicator of hypercalcemia.
2. Peaked T waves are an indicator of hyperkalemia.
3. Postural hypotension is an indicator of hypovolemia.
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A group of patients with early Alzheimer's disease and their spouses approach you regarding help with the establishment of a local Alzheimer's Society for the support and education of affected individuals and their families
As a manager in an ambulatory care clinic, what suggestion or advice would you offer this group? a. Self-help groups are, by nature, directed, funded, and led by those requiring help, and therefore, the patients and families should need no help from your clinic. b. Your healthcare organization would be pleased to help as long as your organiza-tion financially takes over responsibility for direction, leadership, and management. c. Through partnership, you will provide supports, if possible, that the patients and spouses themselves identify as necessary in the establishment of the group. d. The services that the patients and spouses are proposing are likely being offered somewhere else already.
A registered nurse (RN) wants to delegate the insertion of an intravenous catheter (IV) to a licensed practical nurse (LPN/LVN). The RN bases the decision to delegate on which factor?
1. The RN does not have time to start the IV. 2. Inserting an IV catheter is within the scope of the LPN/LVN role according to the state's nurse practice act. 3. The RN has not started an IV since nursing school. 4. The RN does not have time to evaluate the outcome of the procedure.
A nursing intervention that will be planned to occur early in the nurse-patient relationship with a client with an eating disorder is:
1. Formulating a nurse-client contract 2. Using confrontation to attack denial 3. Placing the client in a therapeutic group 4. Attacking enmeshment by separating client and family
The perinatal nurse is preparing a woman for a scheduled cesarean birth. The woman will be receiving spinal anesthesia for the birth. In order to prevent maternal hypotension, the nurse:
A) Assists the woman to lie down in a supine position. B) Administers a rapid intravenous infusion of 500 mL of normal saline. C) Assesses blood pressure and pulse every 5 minutes, three times, before the spinal insertion. D) Encourages frequent cleansing breaths after the patient has been placed in the correct position for the anesthesia administration.