A client is ordered to receive insulin subcutaneously. What is the order of administration?
1. Draw up the insulin.
2. Clean the skin with alcohol.
3. Insert the needle.
4. Count to five.
5. Pinch the skin.
6. Remove the needle.
7. Inject the medication.
8. Verify the doctor's ordered dosage.
ANS:
8, 1, 2, 5, 3, 7, 4, 6
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The doctor performs a pelvic examination on the woman in labor and informs her that the baby is in the footling breach position. When the physician leaves the room, the client asks the nurse what that means. The nurse's best response includes:
1. The buttocks are presenting first, with the feet flexed on the abdomen. 2. The buttocks are presenting first, with the feet close to the head. 3. The head and one foot will present first. 4. One or both feet are presenting first.
A nurse is teaching a childbirth preparation class. The group is discussing individual expression of labor pain. What statement is accurate about a patient's expression of pain?
a. It reduces the patient's perception of pain. b. It is intensified by the vertex position of the fetus. c. It is influenced by culture. d. It can be completely controlled by nonpharmacological techniques.
A 67-year-old patient diagnosed with myasthenia gravis will likely display which clinical manifestations as a result of autoantibodies ultimately blocking the action of acetylcholine, resulting in destruction of the receptors?
A) Weakness of the eye muscles; difficulty in swallowing and slurred speech; impaired gait B) Tremor of hands/arms; rigidity of the arms; shuffling gait C) Short-term memory lapses; problems with orientation; a lack of drive or initiative D) Facial droop; slurred speech; weakness on one side of the body
Which statement by a nurse may underrate a patient's feelings and belittle the patient's concerns?
a. "You appear tense." b. "I'm not sure I follow you." c. "Everything will be all right." d. "I notice you are biting your lip."