The nurse is caring for a client with superior vena cava syndrome. The nurse is aware that an appropriate nursing intervention for this condition would be:
a. providing a restful environment
b. closely monitoring intake and output
c. elevating client's feet and legs
d. placing the client in the Sims' position
A
The client with superior vena cava syndrome experiences dyspnea, swelling of the face and neck, edema in the upper extremities, chest pain, and cough. The client should be placed in Fowler's position with the head elevated but not the lower extremities, so that venous return will not be increased. Activities should be limited.
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A nursing student questions an instructor regarding the order for fluvoxamine (Luvox) 300 mg daily for a client diagnosed with obsessive-compulsive disorder (OCD). Which instructor response is most accurate?
1. High doses of tricyclic medications will be required for effective treatment of OCD. 2. Selective serotonin reuptake inhibitor (SSRI) doses, in excess of what is effective for treating depression, may be required for OCD. 3. The dose of Luvox is low because of the side effect of daytime drowsiness. 4. The dose of this selective serotonin reuptake inhibitor (SSRI) is outside the therapeutic range and needs to be questioned.
Janet is being prepared for discharge with her newborn. She tells you about the antique crib she inherited from her grandmother and how excited she is about using it for her newborn
Which of the following pieces of information should be cause for concern? a. The crib has been stripped and repainted with a lead-free paint. b. The side rail hardware has been replaced so that the latches remain fastened. c. The crib slats are 3½ inches apart. d. The mattress fits snugly in the crib with ½-inch space around the sides.
The nurse is teaching the parents of a child who is in Piaget's sensorimotor stage of development
Which statement, made by the parents, indicates to the nurse that they understand the teaching and are working appropriately to help the child accomplish developmental tasks of this stage? 1. "We have started buying more colorful toys." 2. "We play with water toys in the bathtub." 3. "We bought some blocks with numbers." 4. "We have been playing peek-a-boo."
A nurse obtains a nutritional health history from a 10-year-old child. Which of these food selections,if consumed on a regular basis,should lead the nurse to become concerned about the need for improving oral hygiene?
1. Peanuts and crackers 2. Sorbet and yogurt 3. Gummy bears and licorice 4. Fluoridated water