A nurse is caring for a patient who has myasthenia gravis. The prescriber has ordered neostigmine [Prostigmin]. An important initial nursing action before administration of the medication includes assessing:
a. the ability to raise the eyelids.
b. level of fatigue.
c. skeletal muscle strength.
d. swallowing ability.
D
Many patients hospitalized for myasthenia gravis do not have the muscle strength to swallow well and need a parenteral form of the medication; therefore, assessing the patient's ability to swallow is an important initial safety measure. Evaluating the patient's ability to raise the eyelids, level of fatigue, and skeletal muscle strength are important assessments before drug administra-tion and during drug treatment, because they indicate the effectiveness of the drug and help de-termine subsequent doses.
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The number of serious injuries of children in a community has doubled in the past year. Based on this information, the most appropriate nursing diagnosis for the community would be:
1. Altered Family Processes related to hospitalization of an injured child. 2. Noncompliance related to inappropriate use of child safety seats. 3. Injury, risk for related to inadequate use of bicycle helmets. 4. Knowledge, Deficit injury prevention in children.
The nurse receives a prescription to begin a morphine drip for a patient who is to be taken off the ventilator, and to increase the infusion rate as needed to maintain the patient's comfort
The nurse refuses to carry out the order because the morphine will depress respirations and the nurse believes this is equivalent to killing the patient. Which concept best describes what this nurse is demonstrating? a. Moral agency b. Morals c. Bioethics d. Clinical decision making
In light of her recent diagnosis of chronic obstructive pulmonary disease (COPD), a 66-year-old woman has been prescribed bronchodilators and corticosteroids, both of which will be administered by metered dose inhaler
How should the nurse instruct the patient on the correct administration of her medications? A) "Gauge the dose of your medications based on the severity of your symptoms on that particular day." B) "When you're taking your inhalers, breathe in as deeply as you can and hold each breath for several seconds." C) "Inhale for several short, forceful breaths after depressing your inhaler in order to get the medication well-distributed in your lungs." D) "Exhale through your inhaler prior to and after using it so that you purge the old medication from the device."
A PHN collaborates with agencies to address the problem of obesity in the community. Who would be the most appropriate people to include in this collaborative partnership? (Select all that apply.)
a. Local health department staff members b. Restaurant owners c. Parks and recreation department staff members d. Church representatives e. Appliance store managers