The client who had a transsphenoidal hypophysectomy 2 days ago now has nuchal rigidity. What is the nurse's best first action?
A. Encourage the client to do active range-of-motion exercises for the neck.
B. Document the finding as the only action.
C. Take the client's temperature.
D. Administer pain medication.
C
Nuchal rigidity is a major manifestation of meningitis, a potential postoperative complication associated with this surgery. Meningitis is an infection, and usually the client also will have a fever.
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A nurse is teaching a patient who has taken glucocorticoids for over a year about glucocorticoid withdrawal. Which statement by the patient indicates a need for further teaching?
a. "I should reduce the dose by half each day until I stop taking the drug." b. "I will need to have cortisol levels moni-tored during the withdrawal process." c. "The withdrawal schedule may take sev-eral months." d. "If I have surgery, I may need to take the drug for a while, even after I have stopped."
A patient being treated for fluid volume excess has blood glucose elevation. The nurse would review the patient's medication history for which medication?
1. Furosemide (Lasix) 2. Spironolactone (Aldactone) 3. Potassium chloride (K-Dur) 4. Hydrochlorothiazide (Esidrix)
Convert 0.567 to a fraction: __________
Fill in the blank(s) with correct word
The postpartum multipara is breastfeeding her new baby. The client states that she developed mastitis with her first child, and asks whether there is something she can do to prevent mastitis this time. What would the best response of the nurse be?
1. "Massage your breasts on a daily basis, and if you find a hardened area, massage it towards the nipple." 2. "Most first-time moms experience mastitis. It is really quite unusual for a woman having her second baby to get it again." 3. "Apply cabbage leaves to any areas that feel thickened or firm to relieve the swelling." 4. "Take your temperature once a day. This will help you to pick up the infection early, before it becomes severe."