A client on medication after a bilateral adrenalectomy calls the clinic asking to be seen for "stomach flu" with nausea and vomiting. Which response by the nurse is best?
a. "I will call in a prescription for an anti-emetic medication for you."
b. "Try to drink extra fluids until you can come in for an appointment."
c. "You need to go to the nearest emergency department today."
d. "Double the dose of your medication to-day and tomorrow."
C
The client with bilateral adrenalectomy is on lifelong cortisol replacement therapy. The client cannot skip any doses of his or her medication. If the client has nausea and vomiting for longer than 24 hours and cannot give himself or herself an injection of hydrocortisone, the client must go to the nearest emergency department to get it. The other answers are inappropriate.
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An emergency room nurse assesses a client who was rescued from a home fire. The client suddenly develops a loud, brassy cough. Which action should the nurse take first?
a. Apply oxygen and continuous pulse oximetry. b. Provide small quantities of ice chips and sips of water. c. Request a prescription for an antitussive medication. d. Ask the respiratory therapist to provide humidified air.
A hospital's written policies and procedures are being reviewed as part of an accreditation process. Which of the following policies are congruent with the principles of culturally competent nursing care? Mark all that apply
A) A policy that outlines the appropriate use of translation services B) A policy guiding staff in the care of patients with different values C) A policy that requires staff from different cultures on each unit D) A policy that establishes flexible regulations pertaining to visitors E) A policy that gives priority to patients born outside the United States
A nurse is receiving change-of-shift report about an older adult patient who has a diagnosis of chronic obstructive pulmonary disease (COPD)
The nurse's colleague reports that she has applied oxygen at 6 L/min by nasal prongs in an effort to bring the patient's oxygen saturation levels above 92%. How should the nurse best interpret this colleague's action? A) Supplementary oxygen should not normally be given to patients who have a history of COPD. B) The patient should be given oxygen by simple face mask rather than by nasal prongs. C) Giving oxygen at a high rate has the potential to interfere with the patient's hypoxic drive. D) The patient will require 2 to 3 hours of oxygen therapy before an increase in oxygen saturation occurs.
The instructor tells a nursing student to hurry with the assignment in order to help a classmate who is behind with work. The student has promised a patient she'd return in 15 minutes to polish the patient's nails
Which response would be considered assertive? a. "Why me? I'm still busy with my own patients. Ask one of the others who are standing around at the nurses' station." b. "I suppose I can, if you insist." c. "I've promised one of my patients that I'll come back to polish her nails. I'd like to be able to keep that promise. Can you possibly ask someone else?" d. "I'll be glad to help." Then go and apologize to the patient saying the instructor won't let you polish her nails.