The client is an older adult who has been placed on Librium. The nurse recognizes that the dose of the drug _____ for this client
a. is contraindicated
b. should be increased
c. should be decreased
d. will not change
ANS: C
The dose of Librium should be decreased for an older adult.
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The graduate nurse arrives at the NCLEX-PNĀ® test site. Normally, the nurse does not experience test anxiety. but upon entering the building, the nurse can feel his heart racing, and suddenly feels faint
What can the nurse do to overcome test anxiety? 1. Postpone the test for another day. 2. Remember that if he fails, he can take the test again. 3. Take a deep breath and remember that he is prepared to pass this exam. 4. Tell the receptionist he feels faint.
The nurse is caring for a postoperative patient who had a colostomy placed 2 days ago. The appliance needs to be changed for the first time. Which ostomy care actions may the nurse delegate to the nursing assistant? (Select all that apply.)
a. Gently cleaning the stoma with warm water and a washcloth. b. Assessing the stoma and incision for signs of infection or ischemia. c. Obtaining needed supplies from the clean utility room. d. Teaching the patient how to care for the ostomy after discharge. e. Determining which type of ostomy appliance to use. f. Application of skin protectant to the area surrounding the stoma.
The nurse is inspecting the fingernails of a client who is diagnosed with polycythemia. Which assessment data would be expected for this client?
1. Dark red nails. 2. Horizontal white bands. 3. Pale nail beds. 4. Spoon-shaped nails.
The nurse is preparing discharge instructions for an older adult client with cellulitis of the leg
What should the nurse teach the client and family regarding ways to prevent this health problem from occurring in the future? A) "Keep the client off her leg as much as possible." B) "Bring the client to the doctor if there is a fall." C) "Maintain a healthy diet." D) "Do not allow the client to walk without assistance."