The nurse is providing care for a client who is taking acetaminophen (Tylenol). What should the nurse pay particular attention to during the assessment?
1. Respiratory rate
2. Pulse rate
3. Blood pressure
4. Severe upper or lower abdominal pain
4
Rationale 1: Acetaminophen does not change respiratory rate.
Rationale 2: Acetaminophen does not change pulse.
Rationale 3: Acetaminophen does not change blood pressure.
Rationale 4: Clients on acetaminophen (Tylenol) should report signs of liver toxicity, nausea, vomiting, anorexia, bleeding, severe upper or lower abdominal pain, heartburn, jaundice, or a change in the color or character of stools.
Global Rationale: Clients on acetaminophen (Tylenol) should report signs of liver toxicity, nausea, vomiting, anorexia, bleeding, severe upper or lower abdominal pain, heartburn, jaundice, or a change in the color or character of stools. Acetaminophen does not change respiratory rate, pulse, or blood pressure.
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A hospitalized client is placed on Contact Precautions. The client needs to have a computed tomography (CT) scan. What action by the nurse is most appropriate?
a. Ensure that the radiology department is aware of the isolation precautions. b. Plan to travel with the client to ensure appropriate precautions are used. c. No special precautions are needed when this client leaves the unit. d. Notify the physician that the client cannot leave the room for the CT scan.
A nurse is discussing proper nutrition with clients at a senior citizen center. General guidelines for healthy elderly clients should include
A) increased amount of protein foods in the diet. B) taking a geriatric vitamin or mineral supplement daily. C) daily including at least 8 cups of fluids (excluding caffeinated and alcoholic beverages). D) eliminating fat from the diet because of a decrease in physical activity.
The study of the usefulness of the psychodynamic approach in studying leadership in organizational structures is quite different from the way leadership is studied and recommendations for leadership development that address more observable, conscious
, and rational phenomena. Describe how the concepts of the psychodynamic approach specifically look at different components of leadership when compared to leadership theories focused on the behaviors of leaders. What will be an ideal response?