The highest priority nursing intervention to prevent the client from experiencing fatigue related to biologic response modifiers is to administer the drug:
a. with iron to prevent anemia.
b. with high-calorie foods to protect the stomach.
c. before bedtime to allow the patient to sleep.
d. with high-fat food to provide quick energy.
ANS: C
Taking medications before bedtime encourages sleep and avoids daytime drowsiness.
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The nurse observing the unlicensed assistive personnel (UAP) using alcohol-based rubs for hand hygiene would recognize that further teaching is required when the UAP performs which act?
1. Rubs palm against palm when washing hands. 2. Applies a palmful of product into cupped hands. 3. Interlaces fingers palm to palm. 4. Dries hands with clean paper towel.
Which of the following actions by the nurse would meet the standard of care?
1. The nurse questioned a physician about a prescription where the dose was higher than the recommended dose. 2. The nurse medicated a client who reported severe chest pain with aspirin and then called the physician to get a prescription. 3. The nurse brings a breakfast tray into the client's room and puts in on the counter away from the client who is vomiting and nauseous. 4. A nurse leaving the facility at the end of the shift witnesses a client fall. The nurse calls for help and tells the other nurse that during the next shift he or she will fill out the incident report.
The nurse is caring for a newborn in the special care nursery. The infant is positioned prone and has hydrocephalus. The nurse is especially careful to cleanse all stool after bowel movements
This care is most appropriate for an infant born with: 1. Omphalocele. 2. Gastroschisis. 3. Diaphragmatic hernia. 4. Myelomeningocele.
Evaluation of individual and group progress toward health goals is important. Which component should be included in the evaluative process?
a. Type of teaching strategy used b. Recognition of accomplishments in the group c. Conflict that occurred in the group d. The type of leadership in the group