A male client undergoes nephrectomy and is admitted for postoperative care. However, during postoperative care, he suffers from a severe internal hemorrhage. The internal hemorrhage is stopped, and the client is allowed to rest
Which of the following interventions should the nurse provide to manage and minimize hemorrhage effectively? A) Monitor blood pressure and pulse rate every 1 to 4 hours.
B) Encourage the client to breathe deeply and cough every 2 hours.
C) Auscultate the lungs every 4 to 5 hours.
D) Use two hands to provide firm support to the incision when the client coughs.
A
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A selective serotonin reuptake inhibitor is prescribed for an elderly patient with depression. Nursing assessment should include careful collection of information regarding:
a. other prescribed medications and over-the-counter products used. b. evidence of pseudoparkinsonism or tardive dyskinesia. c. history of psoriasis and any other skin disorders. d. history of diarrhea and electrolyte imbalances.
The client with AIDS and a CD4+ count of 100 cells/mm3 is admitted with a compound fracture of the left leg. In addition, the client has a productive cough, fever, chills, and a his-tory of night sweats. The client's PPD test is negative
What is the nurse's best action? A. Use standard precautions alone because the client does not have tuberculosis. B. Use airborne precautions alone because the client is taking appropriate therapy for HIV. C. Use standard precautions and airborne precautions because the client has tuber-culosis. D. Use standard precautions and airborne precautions until a chest x-ray shows the client does not have tuberculosis.
Posting photos of staff in the workplace on Facebook could result in disciplinary action against those involved (either in the photos or posting the photos)
Indicate whether this statement is true or false.
Which nursing intervention would be most effective when assisting an adolescent who is in stage three of substance abuse?
a. Recommend a drug-free self-help group and family therapy. b. Provide drug education and drug-free activities for the adolescent. c. Recommend hospitalization at a drug abuse center to facilitate withdrawal. d. Provide anticipatory guidance to help the adolescent develop healthy coping skills.