MC When the client leaves the agency AMA, he/she
A. is accompanied by agency security.
B. is accompanied by nursing staff.
C. is accompanied by an agency volunteer.
D. leaves alone or with friends/family.
D
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A patient is diagnosed with third-degree heart failure. The nurse reviews the patient's medication list because the following classifications of drugs should be avoided with patients with heart failure. (Select all that apply.)
a. NSAIDs b. Antidysrhythmics c. ACE inhibitors d. Calcium channel blockers e. Beta-blockers
A pregnant woman is asked to observe fetal movements as a fetal-assessment technique. You would instruct her to
A) report if she feels no movement for any half-hour period. B) count only movements that are strong enough to hurt. C) count fetal movements for 1 hour at the same time each day. D) choose a different time frame each day to count movements.
The newly diagnosed diabetic client asks the nurse many questions about management of diet and insulin protocols. The nurse assesses that the client is using
a. cause-and-effect coping mechanisms. b. defense mechanisms. c. delaying mechanisms. d. problem-focused coping mechanisms.
The home health nurse pouches the enterostomy for the client who has serious financial constraints. Which should the nurse implement to pouch the enterostomy?
1. Uses soap and warm water for peristomal cleansing 2. Leaves an intact skin barrier in place for 3 to 5 days 3. Punches several holes in the pouch for flatus to escape 4. Uses a firm pouching system on a round, hard abdomen