A nursing intervention for a client on long-term corticosteroid therapy includes:
a. monitoring for weight loss.
b. monitoring for hyperglycemia.
c. assuring sodium intake of > 2000 mg daily.
d. assessing for clinical manifestations of dehydration.
b
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The school nurse identified scabies on an eight-year-old. The client's mother was contacted and instructed to use Kwell to eliminate the scabies. Which of the following is the proper sequence for application of Kwell?
a. Scrub the entire body with soap and water; towel dry; apply Kwell; 8-12 hours later, remove Kwell with a complete bath. b. Apply Kwell; 8 hours later, scrub with soap and water. c. Scrub with soap and water. apply a thin layer of Kwell; after 30 minutes remove Kwell with a complete bath. d. Apply Kwell to affected areas t.i.d. for three days.
Which statement about rape is true?
a. Rural areas are higher-risk areas for rape to occur. b. Most rapes occur in the winter. c. Male victims suffer more emotional trauma than females. d. Rapes are more likely to occur on a weekend.
The clinic nurse receives a phone call from a patient. The patient tells the nurse that he forgot to take his medication this morning. Which response by the nurse is best?
a. "Take the next dose as scheduled." b. "What is the name of the medication?" c. "Has this ever happened to you before?" d. "Don't be concerned, this happens all the time."
The fetal heart rate baseline is 140 bpm. When contractions begin, the fetal heart rate drops suddenly to 120, and rapidly returns to 140 before the end of the contraction. Which nursing intervention is best?
1. Assist the client to change from Fowler's to left lateral position. 2. Apply oxygen to the client at 2 liters per nasal cannula. 3. Notify the operating room of the need for a cesarean birth. 4. Determine the color of the leaking amniotic fluid.