Which nursing intervention should be employed for the client during the first 72 hours after a stroke to prevent common complications?
A. Administer analgesics as ordered to promote pain relief.
B. Cluster nursing procedures together to avoid fatiguing the client.
C. Monitor neurologic signs closely with VS to determine early changes in status.
D. Position with a flat back rest to enhance cerebral perfusion.
C
There is not yet enough evidence to recommend a specific back rest elevation after stroke. How-ever, early detection of neurologic, blood pressure and heart rhythm changes offers an opportu-nity to intervene in a timely fashion.
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To calculate the minute rate of a client's IV infusion, the nurse follows which of these steps?
a. Multiply the infusion time in minutes by the drop factor. b. Divide the infusion time in minutes by the hourly rate. c. Divide the hourly infusion rate by number of minutes. d. Multiply the hourly infusion rate by the drop factor, and divide by the infusion time in minutes.
The nurse is participating in a study focused on early identification of ASD. The nurse would include a child in this study based on which assessment findings?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. The child's father was 40 years old when the child was conceived. 2. The child's mother was 37 years old when the child was born. 3. The baby was born one week before the calculated due date. 4. The baby weighed 3 pounds 14 ounces at birth. 5. The baby was born in late spring.
A client with schizoaffective disorder is prescribed clozapine to treat her symptoms. Which of the following instructions would the nurse provide?
A) "Keep a record of how often and how long you experience the side effect of dry mouth." B) "Monitor your urinary output and notify your doctor if your urine changes color." C) "Keep an eye on your weight, and if you gain weight rapidly, notify your doctor." D) "If you experience any drowsiness, discontinue taking this medication."
Fear of darkness is:
a. Algophobia b. Mysophobia c. Xenophobia d. Nyctophobia