A patient is receiving digoxin, 0.25 mg daily. Before giving the medication, the nurse would:
1. count an apical pulse for 15 seconds.
2. hold the dose if the apical rate is 57 beats/min.
3. give the dose if the apical rate is 59 beats/min.
4. double the dose if the rate is 62 beats/min.
2
The dose should be held if the apical rate is less than 60 beats/min for 1 minute.
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A gravida client at 32 weeks of gestation reports that she has severe lower back pain. What should the nurse's assessment include?
a. Palpation of the lumbar spine b. Exercise pattern and duration c. Observation of posture and body mechanics d. Ability to sleep for at least 6 hours uninterrupted
A client is brought into the emergency department because of complaints from the neighbors that the client was acting strangely
The nurse assesses the client and suspects schizotypal personality disorder based on assessment of which of the following? Select all that apply. A) Magical beliefs B) Hallucinations C) Paranoia D) Avoidance of eye contact E) Meticulous dress
When describing the purpose for obtaining a comprehensive health history to a client, which of the following would the nurse include as primary?
A) Completes the client's health record. B) Assures a trusting interpersonal relationship. C) Evaluates the seriousness of the client's risk factors. D) Provides a focus for the physical exam.
The nurse is teaching new parents how to communicate with their infant. Which response by the parents indicates accurate understanding of the information presented?
1. "I will prop the bottle while my baby is in the carseat so that I can cook dinner." 2. "I will use a low-pitched voice while talking to my baby as this is most appropriate." 3. "I will unwrap my baby when she is upset to allow interaction with the environment." 4. "I will talk and sing to my baby while I am providing daily care, including diaper changes."