A 69-year-old was prescribed a benzodiazepine 3 years ago. This medication regimen increases the patient's risk for injury related to drug abuse and requires frequent patient assessment for which of the following? (Select all that apply.)
a. Daytime sleepiness
b. Unsteady gait
c. Shortness of breath
d. Easy bleeding
e. Forgetfulness
A, B, E
Benzodiazepines can cause excessive sedation, impaired memory, decreased psychomotor per-formance, and balance disturbances and may lead to drug dependence and should not be pre-scribed for extended periods of time. Shortness of breath and bleeding are not signs of side ef-fects.
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It is recommended that mastectomy patients perform routine breast examination, including
a. monthly breast self-exams, annual clinical evaluation, and mammography every 2 years. b. weekly breast self-exams, clinical evaluation every 6 months, and mammography annually. c. weekly breast self-exams, annual clinical evaluation, and mammography every 6 months. d. monthly breast self-exams and clinical evaluation and mammography annually.
While assessing the gastrointestinal drainage tube of a client who is 8 days postoperative from a Whipple procedure, the nurse notes that the drainage from the tube has increased and there appears to be frank blood in the tube
What is the nurse's priority action? A. Clamp the nasogastric tube. B. Notify the health care provider. C. Document the finding as the only action. D. Irrigate the nasogastric tube with 20 mL of normal saline.
A nurse is providing care to a group of patients. Which situation will require the nurse to obtain a telephone order?
a. As the nurse and health care provider leave a patient's room, the primary care provider gives the nurse an order. b. At 0100, a patient's blood pressure drops from 120/80 to 90/50, and the incision dressing is saturated with blood. c. At 0800, the nurse and health care provider make rounds, and the primary care provider tells the nurse a diet order. d. A nurse reads an order correctly as written by the health care provider in the patient's medical record.
What is an advantage of external electronic fetal monitoring?
a. The ultrasound transducer can accurately measure short-term variability and beat-to-beat changes in the fetal heart rate. b. The tocotransducer can measure and record the frequency, regularity, intensity, and approximate duration of uterine contractions (UCs). c. The tocotransducer is especially valuable for measuring uterine activity during the first stage of labor. d. Once correctly applied by the nurse, the transducer need not be repositioned even when the woman changes positions.