Identify the nursing action that best prevents autonomic dysreflexia in a client with a spinal cord injury
a. Giving the client his PRN dose of oxaze-pam (Serax) before the muscle spasms begin
b. Maintaining the patency of the Foley ca-theter
c. Keeping the client in the sitting position as much as possible
d. Monitoring the client's electrolyte levels
B
You might also like to view...
Immunosuppressant drugs are given after organ transplantation. For which of the following disorders will immunosuppressant agents also be prescribed?
A) Seizure disorders B) Increased intracranial pressure C) Autoimmune disorders D) HIV/AIDS
A licensed practical/vocational nurse (LPN/LVN) is preparing to add a new IV of 5% dextrose in water (D5W) with potassium (K+) to an existing line. The LPN/LVN notices that only 25 mL of urine has been collected over the past hour
What is the most appropriate nursing intervention? a. Avoid hanging the IV with K+ and inform the registered nurse (RN) of the urine output. b. Run the IV rapidly for 30 minutes to sti-mulate urine production. c. Call the physician who ordered the K+. d. Hang the IV as ordered and chart the out-put.
The State Children's Health Insurance Program (SCHIP) was enacted to:
a. expand public health insurance coverage to children in low-income families making too much to qualify for Medicaid. b. supplement medical coverage of children on Medicaid to cover hospital and office visits. c. offer all families with children an opportunity for health insurance regardless of their income. d. provide health insurance for children of immigrant families who are unable to qualify for Medicaid.
An older adult client is comatose and had one electroencephalogram that indicated no activity
The daughter is very distraught and notices her mother's hand moves when she is talking to her. The daughter asks the nurse, "Is mother responding to my voice?" The nurse, attempting to console the daughter, knows the movement was involuntary but states, "It does appear she did." The nurse is violating which principle of ethics? a. Autonomy b. Veracity c. Utilitarianism d. Deontology