Which safety precaution is most important to teach an older adult who is prescribed chlorpromazine (Thorazine)?
a. "Avoid going barefoot, even in the house."
b. "Change positions slowly when rising to stand."
c. "Drink plenty of water to avoid having to strain during a bowel movement."
d. "Use a thermometer to check the temperature of your bath water to avoid a scald injury."
ANS: B
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The nurse further confirms suspicions of thrombophlebitis by having the client: 1. Flex the ankle to check for a positive Babinski. 2. Lay supine and elevate the leg, gradually extending it to check for Brudzinski sign. 3. Point the toes to check for a positive Homans' sign. 4. Stroke the cheek and check for a positive rooting reflex.
A client has had blood drawn for determination of serum electrolyte levels. The nurse identifies which of the following as an abnormal value?
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a. laboratory phlebotomists only b. licensed practical nurses or registered nurses only c. physicians or their approved representatives d. various members of the health care team
The nurse questions whether treatment with antibiotic therapy is as effective as observation in a 3-year-old boy with otitis media. Which of the following identifies each step in the PICO process?
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