The nurse is caring for a 78-year-old client who is dying of renal failure and congestive heart failure. The client describes having odd dreams and appears to be talking to people not present in the room
The nurse determines that the client is showing signs that are
A) normal visual and auditory hallucinations at the end of life.
B) indicators that death is pending.
C) indications of ineffective pain medication.
D) indicative of an overdose of narcotic medication.
A
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A nurse is caring for a patient who is receiving mannitol. The nurse should be aware that the ongoing mannitol administration should be withheld if
A) the urine output is less than 30 mL/hour after the test dose. B) the urine output is more than 60 mL/hour after the test dose. C) the patient experiences dry mouth or extreme thirst. D) the patient develops a slight headache.
The nurse is caring for a 5-year-old child diagnosed with hypothyroidism whose mother voices skepticism about giving the child drugs
In explaining the need for medication, what will the nurse tell this mother could result if her daughter's condition remains untreated so she can make an informed decision? A) Mental retardation B) Renal dysfunction C) Immune deficiency D) Paralytic ileus
During a bed bath a client complains of drainage from the eye. What would be the best rationale for using separate supplies for each eye?
A) Protect the tear ducts B) Avoid damage to sensitive eye tissues C) Help to prevent spreading infection between the eyes D) Move debris away from each eye
The evidence supporting prevention of perineal trauma and comfort during second stage of labour includes all of the following:
a. Providing warm compresses to the perineum during labour, providing digital massage to the perineum during labour and guiding the woman to push with her own urges b. Providing ice compresses to the perineum during labour, providing digital massage during the antenatal period and guiding the woman to push with her own urges c. Providing digital massage to the perineum during the antenatal period, having some control over the baby's head during birth and guiding the woman to push with her own urges d. Providing digital massage to the perineum during labour, having some control over the baby's head during birth and applying lignocaine (lidocaine) spray to the perineum during second stage