Select the most effective action a nurse can take to protect a client who has been recently diagnosed with thrombocytopenia
a. Have the client use a wheelchair whenever the client must leave the room.
b. Increase the client's fluid intake to 3 liters per day to prevent a urinary tract infec-tion.
c. When giving intramuscular injections, use the smallest needle possible to administer the medication.
d. Limit visits to immediate family only for 10 minutes per hour.
C
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The client is scheduled to have an electronystagmography test tomorrow. Which of the following does the nurse teach the client?
A. "There are no special preparations or precautions because this test is noninvasive." B. "Be sure to wash your hair tonight and wear no makeup for the test tomorrow." C. "Avoid caffeinated beverages until after tomorrow's test and do not eat or drink for 3 hours before the test." D. "Be sure to have someone drive you home after the test because you will be too sleepy from the sedation to drive safely."
A client, prescribed sertraline (Zoloft) for anxiety and depression, reports experiencing delayed ejaculation since being on this medication. Which response by the nurse is the most appropriate?
1. "I am concerned that you will become suicidal if you stop the medication." 2. "Keep taking the medicine, as this usually goes away after a few months." 3. "I will let your doctor know." 4. "This does happen, but treating your depression is a bigger priority."
A nurse can explain the risk of lead poisoning by the use of
a. Evidence-based practice b. Lead registries c. Environmental surveillance d. Environmental epidemiology
The healthcare provider has prescribed hydrochlorothiazide (HCTZ) for a client with chronic renal failure. Which assessment finding indicates the treatment is ineffective?
A. Weak pulses B. Hypotension C. Poor skin turgor D. Wheezing