The client with thrombocytopenia is being started on prednisone. What should the nurse plan as a priority of care?
1. Frequent ambulation
2. Preparation for surgery
3. Diet counseling
4. Protection from infection
Answer: 4
1. Frequent ambulation is not a requirement of prednisone therapy.
2. The client with thrombocytopenia will not have surgery for this disease.
3. Diet counseling is not an effective treatment for thrombocytopenia.
4. Prednisone is an immune system suppressant. Interventions that protect the client from infection are the priority of care.
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A patient diagnosed with borderline personality disorder has demonstrated self-mutilation and inappropriate expressions of anger. Which statement by the patient would the nurse evaluate as an improvement?
a. "I think you are the nicest nurse on the unit." b. "I got drunk last night, but I won't ever do it again." c. "I felt like cutting myself, so I came to talk to you." d. "I hate my friends. They never help me when I need it."
The nursing center has a new mechanical lift. Which statement is correct?
a. If you used the old model, you know how to use the new one. b. All mechanical lifts are the same. c. You need to be trained in its use. d. The new one is safer to use.
A new mother asks whether she should feed her newborn colostrum, because it is not "real milk." The nurse's most appropriate answer is:
a. Colostrum is high in antibodies, protein, vitamins, and minerals. b. Colostrum is lower in calories than milk and should be supplemented by formula. c. Giving colostrum is important in helping the mother learn how to breastfeed before she goes home. d. Colostrum is unnecessary for newborns.
The leading cause of death during the toddler period is:
a. Injuries. c. Congenital disorders. b. Infectious diseases. d. Childhood diseases.