Which of the following nursing interventions is most clearly stated and will assist other staff members to provide safe care?
A) provide extra fluids
B) increase ambulation in hallway
C) reinforce use of incentive spirometer TID
D) complete physical assessment with patient in the AM
C) reinforce use of incentive spirometer TID
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A patient with schizophrenia has been stabilized in the Crisis Center and is about to be discharged
He will be living with his family, but the family knows nothing about the patient's illness, its treatment, or the role they can play in his recovery. Which activity would be most beneficial for the family to attend? a. Psychoanalytic group b. Psychoeducational group c. Individual counseling d. Family therapy
An intravenous (IV) administration of doxycycline (Vibramycin) has extravasated. What nursing action should be implemented after stopping the IV line?
a. Notify the physician, and restart the IV line in another site. b. Restart the IV line at another site and document the extravasation. c. Flush NS through cannula at the insertion site. d. Discard the IV tubing and the IV bag.
The nurse is teaching a young woman about her risk of contracting a sexually transmitted disease (STD). Which statement by the client indicates that further instruction is needed?
a. "I am at decreased risk for an STD if I don't rely on contraceptive sponges or foams to protect me." b. "I am at decreased risk for an STD be-cause I am using an intrauterine device for contraception." c. "I am at increased risk for an STD because of the way that my body is designed as a woman." d. "I will be at increased risk for an STD if I rely on oral contraceptives to protect me from contracting a disease."
The newly admitted 80-year-old female resident sits in her room and stares at the TV all day. What action by the nurse would best aid the patient in increasing self-esteem?
a. Encouraging her to participate in self-care activities b. Suggesting that she change the channel to an intellectually stimulating program c. Giving her privacy until she becomes accustomed to the long-term care facility d. Arranging for a meal tray rather than having her eat in the dining room