The nurse is assessing a client with mitral stenosis who is to undergo a transesophageal echocardiogram (TEE) today. Which nursing action is essential?
A. Auscultate the client's precordium for murmurs.
B. Teach the client about the reason for the TEE.
C. Reassure the client that the test is painless.
D. Validate that the client has remained NPO.
Ans: D. Validate that the client has remained NPO.
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A client who has amyotrophic lateral sclerosis (ALS) has a nursing diagnosis of Ineffective breathing patterns related to weakness of respiratory muscles and fatigue. Which goal is appropriate for this diagnosis?
a. Client will experience less fatigue. b. Client will maintain highest functional ability within limitations of the disease. c. Client will maintain adequate PaO2 levels. d. Client will swallow with minimal choking and coughing, and no aspiration.
The patient with shingles has been on an antiviral medication since the vesicles appeared. The nurse encourages the patient that such early treatment will probably prevent:
a. postherpetic pain. b. outbreak of more vesicles. c. lesions attacking the eye. d. pain of the disease.
A nurse is collecting a nasopharyngeal culture on a school-age child. Place the steps in order from the first step the nurse should take to the last step
a. Dip the swab tip into saline. b. Place the swab in an appropriate culture medium. c. Ask the child to look up. d. Gently insert the tip of the swab into one nostril. e. Label the specimen.
Noninstitutionalized older persons often assess their health as excellent to very good. An appropriate goal for community-oriented nurses working with older persons is
1. Assessing chronic illnesses and making medication recommendations 2. Finding family members to help the older person with socioeconomic issues 3. Assisting older persons to find suitable housing 4. Helping older people maximize functional status and minimize functional decline