Upholding a client's right to make a choice and to act on the choice involves:
1. Affirming
2. Supporting
3. Informing
4. Decision making
2
Supporters approve and support clients' actions.
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A 4-month-old child is at the clinic for a well-baby check-up and immunizations. Which of these actions is most appropriate when the nurse is assessing an infant's vital signs?
a. The infant's radial pulse should be palpated, and the nurse should notice any fluctuations resulting from activity or exercise. b. The nurse should auscultate an apical rate for 1 minute and then assess for any normal irregularities, such as sinus arrhythmia. c. The infant's blood pressure should be assessed by using a stethoscope with a large diaphragm piece to hear the soft muffled Korotkoff sounds. d. The infant's chest should be observed and the respiratory rate counted for 1 minute; the respiratory pattern may vary significantly.
A geriatric nurse is teaching the client's family about the possible cause of delirium. Which statement by the nurse is most accurate?
1. "Taking multiple medications may lead to adverse interactions or toxicity." 2. "Age-related cognitive changes may lead to alterations in mental status." 3. "Lack of rigorous exercise may lead to decreased cerebral blood flow." 4. "Decreased social interaction may lead to profound isolation and psychosis."
Which drug is given to the pancreatitis client with an opioid drug to reduce ductal spasms?
a. dicyclomine hy-drochloride (Bentyl) c. Cimetidine (Taga-met) b. Ranitidine (Zantac) d. Tramadol (Ultram)
A patient with migraines is started on a beta blocker. The nurse explains the benefits of taking the medication for migraines. Which statement by the patient indicates an understanding of the medication's effects?
a. "I need to take it every day to reduce the frequency of migraines." b. "I will take it as needed to get relief from migraines." c. "I will take it to shorten the duration of my migraines." d. "I will take this drug when a migraine starts."