An 82 year-old woman who lives on her own has been brought to the emergency department after being found down in her apartment for two days. The woman is showing early signs of hypovolemic shock with tachycardia, lethargy, and hypotension
At what level would this patient most likely be triaged?
A) Level 1: Resuscitation
B) Level 2: Emergent
C) Level 3: Urgent
D) Level 4: Nonurgent
B
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A physician has ordered that a medication be given "stat" for a client who is having an anaphylactic drug reaction. At what time would the nurse administer the medication?
A) At the next scheduled medication time B) Immediately after the order is noted C) Not until verifying it with the client D) Whenever the client asks for it
The nurse is preparing to administer a dose of growth hormone and reconstitutes the medication. After adding the diluent, the nurse notices that the preparation is cloudy. What action should the nurse take?
a. The drug should be administered as ordered. b. The drug should be discarded and another dose prepared. c. The drug should be shaken to help dissipate the particles. d. The charge nurse and prescriber should be notified.
A nurse is caring for a client age 78 years who is taking an anticholinergic medication and complains of dry mouth. Which of the following would be most appropriate for the nurse to suggest? Select all that apply
A) Chew hard candies. B) Rinse the mouth with a glycerol mouthwash. C) Use more seasonings on food. D) Drink decaffeinated beverages often.
Which is not one of the Fulmer SPICES categories?
a. Pain b. Confusion c. Falling d. Incontinence