A client who is jaundiced and suspected of having contracted hepatitis B has been admitted to the hospital. Which of the following nursing interventions would be most appropriate for this client?
A. Encourage bedrest during this period.
B. Assist the client with ambulation to prevent thrombus formation.
C. Place the client on a clear liquid diet to reduce the workload of the liver.
D. Medicate the client with PRN prochlorperazine maleate (Compazine) to relieve nausea.
A
During the icteric phase, the client is placed on bedrest to rest the inflamed liver and promote hepatic cell regeneration. Rest reduces the liver's metabolic demands.
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An example of a beneficial inhibitory interaction is:
A. naloxone blocking morphine's actions. B. antacids blocking tetracycline's actions. C. alcohol blocking the actions of opioids. D. phenobarbital blocking the effects of phenytoin.
An 8-year-old girl tells the nurse that she has cancer because God is punishing her for "being bad." She shares her concern that if she dies, she will go to hell. The nurse should interpret this as being
a. A belief common at this age b. A belief that forms the basis for most religions c. Suggestive of excessive family pressure d. Suggestive of a failure to develop a conscience
The nurse is caring for a patient who has a tracheostomy. To prevent the patient from developing an airway obstruction, the nurse assesses which of the following? (Select all that apply.)
a. Patient's nutritional status b. Environmental humidity c. Existing respiratory infection d. Patient's ability to cough
The nurse is obtaining a focused head and neck interview on a client. Which should the nurse ask the client to assess their internal environment?
A. "Have you ever had irradiation to your neck?" B. "Have you been exposed to chemicals in the work place?" C. "Do you use any home remedies?" D. "Does anyone smoke in the home environment?"