The nurse is developing a plan of care for a 25-year-old client of the outpatient clinic who has just been diagnosed with narcolepsy. Which intervention should the nurse include in this plan of care?
A)
Encourage the client to take an over-the-counter medication to improve nighttime sleep.
B)
Be certain the client obtains antihistamines to control nasal stuffiness.
C)
Have the client purchase sodium oxybate (Xyrem) over the counter to prevent daytime drowsiness.
D)
Be certain the client has his prescription for modafinil (Provigil) filled.
D
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When transferring a client into a chair, a nurse notices that the pressure-relieving mattress overlay has deep imprints of the client's buttocks, heels, and scapulae. Which action should the nurse take next?
a. Turn the mattress overlay to the opposite side. b. Do nothing because this is an expected occurrence. c. Apply a different pressure-relieving device. d. Reinforce the overlay with extra cushions.
A patient with end-stage liver failure has received a liver transplant. During the postoperative care phase, the nurse monitors the patient's oxygen status closely
What condition may interfere with the use of peripheral pulse oximetry in this patient? A) Metabolic acidosis B) Severe jaundice C) Normal body temperature D) Clubbing of fingernails
A 77-year-old man is a hospital inpatient admitted for exacerbation of his chronic obstructive pulmonary disease (COPD), and a respiratory therapist (RT) is assessing the client for the first time
Which of the following aspects of the patient's current state of health would be best characterized as a symptom rather than a sign? A) The patient's oxygen saturation is 83% by pulse oxymetry. B) The patient notes that he has increased work of breathing when lying supine. C) The RT hears diminished breath sounds to the patient's lower lung fields bilaterally. D) The patient's respiratory rate is 31 breaths/minute.
Which of the following measures should the nurse take when caring for the hospitalized client with TB?
a. Double-bag and dispose of client secretions as infectious waste. b. Wear gown, gloves, goggles, head cover, particulate respiratory mask, and shoe covers when entering the client's room. c. Instruct the client to wear a surgical mask at all times. d. Select reusable care items and keep them in the client's room.