An older client is observed scratching and rubbing white ridges on the skin between fingers, on the wrists, in the axillae, and around the waist. Which is the nurse's priority intervention?
a. Placing the client in a single room
b. Administering an antihistamine
c. Assessing for allergies
d. Applying cold compresses
A
The client's presentation is most likely to be scabies, a contagious mite infestation. The client needs to be admitted to a single room and treated for the infestation. Secondary interventions may include medication to decrease the itching. Cold compresses would not be indicated, and this is not an allergic manifestation.
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A student asks what the phrase "probable signs of pregnancy" means. The instructor provides which answer?
A. Objective signs seen by an examiner; can be from other conditions B. Objective signs seen by an examiner; only caused by pregnancy C. Subjective signs reported by the patient; can be from other conditions D. Subjective signs reported by the patient; only caused by pregnancy
Which of the following are reasons a nurse may need to contact the client's physician to administer an antipsychotic drug intramuscularly instead of orally? Select all that apply
A) Client is combative. B) Client refuses the medication. C) Client won't allow the nurse to inspect the oral cavity. D) Client has difficulty swallowing. E) Client is elderly.
When providing care for a patient who is disoriented during a nasogastric (NG) tube placement, which intervention is important for the nurse to implement?
a. Halt the procedure. b. Request assistance with insertion. c. Administer a hypnotic medication. d. Continue the procedure as with any other patient.
A nurse is working in a clinic whose emphasis is on cost control, customer satisfaction, health promotion, and preventive services. This represents which type of system?
1. Managed care 2. Case management 3. Differentiated practice 4. Patient-focused care