A client who has Guillain-Barré syndrome is scheduled for plasmapheresis. Before the procedure, which clinical manifestation does the nurse use to determine patency of the client's arteriovenous shunt?
a. Palpable distal pulses
b. A pink, warm extremity
c. The presence of a bruit
d. Shunt pressure higher than 25 mm Hg
C
Nursing care of the client undergoing plasmapheresis includes care of the shunt. The nurse checks for bruits every 2 to 4 hours for patency. Pulse and extremity assessments do not provide information related to shunt patency. Pressure within the shunt is not tested before treatment to determine patency.
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A client with gastroesophageal reflux disease (GERD) is prescribed esomeprazole (Nexium). What should the nurse ensure the client understands about this medication? (Select all that apply.)
1. Take at bedtime or before breakfast. 2. Aspirin should be used for analgesia. 3. Do not smoke when taking this medication. 4. Limit alcohol intake when taking this medication. 5. Nonsteroidal anti-inflammatory drugs (NSAIDs) should be avoided when taking this medication.
A client who is recovering from thyroid storm has been started on methimazole (Tapazole) prior to discharge. The nurse should teach the client the importance of:
1. monitoring carefully for edema. 2. monitoring for enhanced taste. 3. taking the medication at the same time every day. 4. monitoring for hyperthyroidism.
A patient with pulmonary edema has a respiratory rate of 28 per minute. The nurse plans care for this patient based on which change in the lungs?
1. Decreased work of breathing 2. Reduced muscle activity 3. Dehydration of lung tissues 4. Decreased compliance
A nurse is presenting teaching sessions to a group of residents in a home for long-term physical rehabilitation. Which of the clients described exhibits the greatest motivation?
A) An individual who has been struggling with following nursing directives regarding discharge goals B) The client who has just moved in and is already waiting for discharge C) A client who has been there the longest and is a great "coach" for newcomers D) A client who is excited to learn about his new prosthesis