Assessment of an older adult client reveals that the client is receiving psychiatric medications. The client states, "I get dizzy periodically and have trouble walking." Which of the following should the nurse do first?
A) Compare the client's baseline blood pressure with the client's current blood pressure.
B) Instruct the client to stop taking the psychiatric medications.
C) Interview the client's family about the client's coping skills and current stress level.
D) Suggest the client periodically use an alcohol-based mouthwash several times a day.
A
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The client's nursing diagnosis is disturbed sleep pattern related to anxiety. The desired outcome is
that client will sleep for a minimum of 5 hours nightly by October 31 . On November 1 review of sleep data for the 6 days of hospitalization shows the client sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. The outcome can be evaluated as a. consistently demonstrated. b. often demonstrated. c. sometimes demonstrated. d. never demonstrated.
A newborn is diagnosed with coarctation of the aorta. Which assessment should the nurse make when caring for this infant?
A) Observing for excessive crying B) Auscultating for a cardiac murmur C) Assessing for the presence of femoral pulses D) Recording an upper extremity blood pressure
The patient is ordered Heparin 5000 units subcut daily. The heparin should be given by the
______________ route. Fill in the blank(s) with correct word
Which intervention would help the child with a serious burn meet nutritional needs during the subacute phase of recovery:
a. Decrease calories because the child will be on bed rest and will not need as many b. Increase calories and protein to compensate for the healing process c. Increase fat to replace the layer of fat next to the burned skin d. Decrease carbohydrates and starches because the pancreas is strained by the healing process