Which of the following client-related factors assessed by the nurse does not raise the client's risk for laryngitis?
1. overuse of the voice
2. bacterial infections
3. inhalation of irritating chemicals
4. breathing humid air
ANS: 4
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The nurse is planning goals for a male client with the diagnosis of personality disorder. What is the main goal of the client's therapy?
a. To adjust to his medications b. To learn to get along with others c. To learn to control his environment d. To become aware of how his behavior affects his life
Before performing the doll's eye or oculocephalic reflex, the nurse must verify
a. the absence of cervical injury. b. the depth and rate of respiration. c. a physician's order to perform the maneuver. d. the patient's ability to follow a verbal command.
A patient with osteomyelitis is to receive vancomycin (Vancocin) 500 mg IV every 6 hours. The vancomycin is diluted in 100 mL of normal saline and needs to be administered over 1 hour. The nurse will set the IV pump for how many mL/minute?
(Round to the nearest hundredth.) What will be an ideal response?
The nurse is discussing temperature assessing of children with a group of nursing assistants. Which statement is the most accurate about temperature assessment?
A) "A rectal temperature is usually 0.5° to 1° lower than the oral measurement." B) "Tympanic temperatures should not be taken on a child who is sleeping." C) "An axillary temperature usually measures 0.5° to 1° higher than the oral measurement." D) "Rectal temperatures should not be taken on a child with diarrhea."