The nurse is preparing a dose of Mellaril. What is the highest priority intervention for the nurse while preparing the dose?
a. Draw up the dosage of the liquid in an oral syringe.
b. Use a 21-gauge needle to administer the injection.
c. Start a new IV site before administering the drug.
d. Avoid spilling the liquid on exposed skin.
ANS: D
If Mellaril is allowed to come in contact with exposed skin, contact dermatitis can result.
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Which of the following would lead the home health nurse to make a nursing diagnosis of unresolved grief for a patient who was widowed 5 months ago?
a. Seeing that the patient keeps a picture of the husband by her bed b. The patient said tearfully, "I can't believe he is gone." c. Assessing that the patient eats out frequently rather than cooking at home d. The patient says that she attends church three times a week.
Which of the following older adults is using his or her mobility device most appropriately?
A) Mr. B, who says that his cane helps him stay more balanced and stable when he walks. B) Mrs. A, who has begun using a walker in order to prevent further deterioration of her mobility. C) Mrs. D, who uses a wheelchair to get around her care facility because she is unable to walk quickly. D) Mrs. L. who uses an adjustable cane to help support her weaker side during transfers.
The Quality and Safety Education for Nursing (QSEN) project sets an agenda to improve the quality and safety of the health care delivery system
To achieve the goals set by QSEN, the Institute of Medicine (IOM) suggested the following competencies for nurses except for which of the following? 1. Patient centered care 2. Team work and collaboration 3. Informatics and evidence-based practice 4. Professional code of conduct
A pregnant woman with a primary genital infection HSV-2 is seen at the health clinic for prenatal care at 12 weeks. What is the best response by the nurse when the client begins crying and asks how her baby will be affected?
A) "HSV-2 can severely affect your baby. Let's talk about it." B) "Why did you get pregnant while you had an active infection?" C) "I'll come back when you are done crying and we can discuss this." D) "I am sure things will be fine."