In which one of the following interventions is the nurse being an advocate for her client?
A) Assisting a client to ambulate the hallway following an injury
B) Administering analgesics for a client following a surgery
C) Helping an elderly client fill out an advanced directive form
D) Giving a backrub to a client confined to bed rest
C
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A nurse assesses an older adult client who has multiple chronic diseases. The client's heart rate is 48 beats/min. Which action should the nurse take first?
a. Document the finding in the chart. b. Initiate external pacing. c. Assess the client's medications. d. Administer 1 mg of atropine.
A pleural effusion can be caused by
A) increased colloid osmotic pressure of blood. B) increased pressure in the lymphatics. C) a tear in the bronchus. D) a decrease in surfactant.
The 154-pound adult client has had vomiting and diarrhea for 4 days secondary to a viral infection. Which hourly urine measurement would indicate that efforts to rehydrate this client have not yet been successful and should continue?
A) 35 mL per hour B) 30 mL per hour C) 50 mL per hour D) 80 mL per hour
The nurse is caring for a client in Stage 2 of general anesthesia. Which is a priority nursing intervention?
A. Assist the anesthesiologist in repositioning the client. B. Complete the surgical scrub. C. Keep the environment quiet and calm. D. Insert the indwelling urinary catheter.