A client with multiple sclerosis (MS) experiences muscle weakness and an ataxic gait. Based on these symptoms, the nurse formulates "Impaired physical mobility" as one of the nursing diagnoses applicable to the client
Which of the following nursing interventions should be most appropriate to address the nursing diagnosis? A) Use pressure-relieving devices when the client is in bed or in a wheelchair.
B) Change body position every 2 hours.
C) Help the client perform range-of-motion (ROM) exercises every 8 hours.
D) Use a footboard and trochanter rolls.
C
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Which question posed by the nurse will most likely promote the sharing of sensitive information during a genetic counseling interview?
a. "What kind of defects or diseases seem to run in the family?" b. "How many people in your family are mentally retarded or handicapped?" c. "Did you know that you can always have an abortion if the fetus is abnormal?" d. "Are there any members of your family who have learning or developmental problems?"
Emergency contraception, i.e., the "morning after pill," must be taken within how many hours of unprotected sex?
a. 24 c. 72 b. 48 d. 96
A client asks the nurse why it is important to fill out a food frequency questionnaire. The nurse responds that a food frequency record is used to:
1. Determine nutrient excesses and deficiencies. 2. Provide baseline data for dietary planning. 3. Find out which supplements the client is taking. 4. Determine which foods have been consumed during the past 24 hours.
A nurse at the mental health center prepares to administer a scheduled injection of haloperidol decanoate (Haldol depot injection) to a patient with schizophrenia
As the nurse swabs the site, the patient shouts, "Stop, stop! I don't want to take that medicine anymore. I hate the side effects." Select the nurse's best initial action. a. Stop the medication administration procedure and say to the patient, "Tell me more about the side effects you've been having." b. Say to the patient, "Since I've already drawn the medication in the syringe, I'm required to give it, but let's talk to the doctor about skipping next month's dose." c. Proceed with the injection but explain to the patient that other medications are available that may help reduce the unpleasant side effects. d. Notify other staff members to report to the room for a show of force and proceed with the injection, using restraint if necessary.