A client is recovering from abdominal surgery. Before reviewing the discharge plan with the client, which intervention by a nurse would most likely maximize the learning process?
A) Assessing pain level and medicating if needed
B) Assessing and documenting temperature
C) Assessing skin turgor and hydrating if needed
D) Assessing lighting in the room and adjusting as necessary
A
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A patient's recently elevated BP has prompted the primary care provider to prescribe furosemide (Lasix). The nurse should closely monitor which of the following?
A) The client's oxygen saturation level B) The patient's red blood cells, hematocrit, and hemoglobin C) The patient's level of consciousness D) The patient's potassium level
A patient diagnosed with obesity asks about the appetite suppressant phentermine to assist with a weight loss program. Which information in the patient's health history might restrict the patient's ability to take this medication?
1. frequent use of alcohol 2. history of narcolepsy 3. a family history of thrombophlebitis 4. a body mass index of 31 kg/m2
A new client had been isolating herself at home and has stayed in her room since admission to the mental health unit. The nurse would: Select all that apply
A) Provide feedback to the client on efforts to socialize. B) Immediately send the client to group therapy. C) Wait until the client's depression lifts to interact. D) Make frequent brief contacts. E) Participate with the client in occupational therapy.
A woman with polycystic ovary syndrome tells the nurse, "I hate this disease. Just look at me! I have no hair on the front of my head but I've got hair on my chin and upper lip. I don't feel like a woman anymore."
Further assessment reveals breast atrophy and increased muscle mass. Which nursing diagnosis would most likely be a priority? A) Situational low self-esteem related to masculinization effects of the disease B) Social isolation related to feelings about appearance C) Risk for suicide related to effects of condition and fluctuating hormone levels D) Ineffective peripheral tissue perfusion related to effects of disease on vasculature