On admission to the acute care unit a patient
tells you that she stopped taking her prescribed clonazepam (Klonopin) 2 days ago. What is your best first action?
a. Ask the patient why she stopped taking the clonazepam.
b. Administer a dose of clonazepam immediately.
c. Document this information as the only action.
d. Notify the prescriber and watch for seizures.
ANS: D
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The nurse is reviewing the laboratory test results of a pregnant client. Which one of the following findings would alert the nurse to the development of HELLP syndrome?
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A client has a draining wound that is contaminated with Staphylococcus aureus. The nurse should observe
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