What independent nursing action can be used to facilitate sleep in hospitalized clients who are on bedrest?
A) Administering prescribed sleep medications
B) Changing the bed with fresh linens
C) Encouraging naps during the daytime
D) Giving a back massage
Ans: D
Simple interventions, such as offering a back massage, can promote comfort and sleep in hospitalized clients on bedrest.
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A pregnant adolescent client asks for information about the pregnancy and the baby because she cannot afford to prenatal care. Which action by the nurse is the most appropriate?
A) Provide the client with information on resources to assist with medical care during the pregnancy and after delivery. B) Instruct the client on aspects of pregnancy, fetal development, and labor and delivery. C) Ask the client if her parents are aware that she is pregnant and if she is covered by their medical insurance. D) Tell the client that the father of the baby is responsible to pay for medical care for her during the pregnancy and after delivery.
A nurse preparing to administer morning medications notes that a patient with a history of hypertension has been prescribed spironolactone [Aldactone]
The nurse assesses the patient and notes dyspnea, bilateral crackles, and pitting edema in both feet. Which intervention is appropri-ate? a. Administer the medications as ordered. b. Ask the patient about the use of salt subs-titutes. c. Contact the provider to request an order for serum electrolytes. d. Request an order for furosemide [Lasix].
Which of the following would the nurse expect to find in a newborn who develops sepsis?
A) Increased urinary output B) Interest in feeding C) Temperature instability D) Wakefulness
A nurse is performing a physical assessment on a patient with tuberculosis who takes rifampin (Rifadin). What would be an expected finding?
a. Crystalluria b. Myopathy c. Peripheral neuropathy d. Red-orange–tinged urine