The nurse in the emergency psychiatric trauma bay is expecting a client with head trauma having epileptic seizures. The nurse anticipates that the client will be:
A) A 60-year-old woman.
B) Dead on arrival.
C) A 40-year-old man.
D) Younger than 20 or older than 70 years.
D
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A patient is admitted to the hospital for hip replacement surgery after falling at home and breaking a hip. The patient has developed pneumonia while in the hospital and has required frequent suctioning from the tracheostomy. The nurse decides to delegate I&O to the unlicensed assistive personnel but does not delegate suctioning. This is an example of which of the five rights of delegation?
a. Right task b. Right direction/communication c. Right intervention d. Right supervision
The visiting nurse is at the home of an 88-year-old woman whose physician is concerned that she is losing weight. While performing an assessment, the nurse discovers that the client's dentures are ill-fitting and this makes eating painful
The client claimed she informed her daughter of this, but the daughter is too busy to take her to the dentist. The nurse is concerned that this is a possible sign of: a. Abuse b. Neglect c. Domestic violence d. Depression
The priority nursing diagnosis for a patient experiencing acute compartment syndrome is:
A) Activity intolerance B) Risk for peripheral neurovascular dysfunction C) Risk for imbalanced body temperature D) Disturbed body image
The nurse is providing counseling to a patient on cromolyn sodium (Nasalcrom) nasal spray. Information relayed to the patient will include that (Select all that apply.)
a. cromolyn must be taken immediately following exposure to the stimulus. b. the patient should blow the nose before nasal instillation. c. therapeutic effects are immediate. d. inhalation will cause coughing. e. the maximum is six sprays in each nostril daily.