The nurse assesses a K+ level of 6.2 mEq/L and becomes alert for the associated sign of (select all that apply):
1. pain on movement.
2. contractions of the hands.
3. twitching of muscles.
4. lethargy.
5. trembling of limbs.
3, 5
Increased levels of K+ cause twitching and tremor related to the altered depolarization that provides for smooth organized function.
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The client with bulimia is experiencing anxiety. What action should the nurse take to assist the client to avoid binge eating and purging in response to the anxiety?
1. Assume a matter-of-fact attitude and positive expectations of the client. 2. Project a calm reassuring attitude and provide a quiet non-stimulating environment. 3. Contract for safety since the client is likely to engage in self-injurious behavior. 4. Maintain total control of the environment and project an attitude of authority.
The nurse is preparing to examine several clients in the clinic setting. Which client would need the greatest degree of special consideration during a physical examination?
1. An adult client with flu symptoms. 2. A preschool-age client in for a well check-up. 3. An adolescent client who complains of fatigue. 4. An older adult client with chronic lung disease.
The home health nurse in Wyoming gives instruction to an 80-year-old patient in the prevention of hypothermia when outdoors for long periods of time, which includes: (Select all that apply.)
a. wearing multiple layers of clothing. b. wearing a snug-fitting hat. c. moving about briskly. d. drinking warm fluids from thermos. e. wearing gloves and earmuffs.
Training and development programs using the cultural behaviors, dimensions, and clusters from the GLOBE studies could focus on all except which of the following topics to help leaders be more effective in working with others from different cultures
a. Teaching cultural sensitivity b. Helping individuals understand their own cultural biases c. New employee orientation programs d. Present stereotypical behaviors from multiple cultures