The nurse is reinforcing teaching for a patient who has had a pacemaker implanted in the right side of the chest. Which of these patient statements indicates correct understanding of the discharge teaching?
a. "Grounded microwave ovens may be safely used."
b. "I may lift 20 pounds safely."
c. "I may move my arm freely."
d. "I may resume normal activity in 1 week."
ANS: A
Grounded microwave ovens may be safely used around pacemakers, which are now encased for protection.
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An elderly client is prescribed to begin receiving lisinopril as part of the treatment for hypertension. What side effect should the nurse be most alert for?
A. Pedal edema B. Orthostatic hypotension C. Elevated serum potassium levels D. Hypotension within 30 minutes of administration
Which information about a patient with Goodpasture syndrome requires the most rapid action by the nurse?
a. Blood urea nitrogen level is 70 mg/dL. b. Urine output over the last 2 hours is 30 mL. c. Audible crackles bilaterally over the posterior chest to the midscapular level. d. Elevated level of antiglomerular basement membrane (anti-GBM) antibodies.
The nurse attends an educational program that provides information about the Nursing Intervention Classifications (NIC) system. Which statements made by the nurse indicate that teaching has been effective?
1. "I can look up interventions according to the nursing diagnosis that I've selected." 2. "The interventions connected to a diagnosis are appropriate for any client with that diagnosis." 3. "If there is a NANDA diagnosis, I should be able to find some appropriate interventions." 4. "Care plans are best written when the interventions are broad and flexible." 5. "I find NIC interventions a really good place to start when I'm working on client interventions."
The primary care physician's office employs five nurses and two unlicensed assistive personnel. One nurse has the role of manager. One member of the staff is the best friend of the nurse manager
The other nurses and office staff think there is favoritism and unfair division of workload because of this relationship. Evaluate this situation, and then choose the most appropriate action needed when the nurse manager overhears the staff's comments. 1. The primary care provider should make a decision about how best to minimize the perception of favoritism. 2. The nurse manager should discuss the issue with her friend and decide how to minimize the perception of favoritism. 3. The nurse manager should meet to discuss the staff's concerns and then ask for input to promote a more equitable distribution of the workload. 4. The nurse manager should ignore her friend at work to reduce the appearance of favoritism.