Passive monitoring of drug effectiveness includes:
1. Therapeutic drug levels
2. Adding or subtracting medications from the treatment regimen
3. Ongoing provider visits
4. Instructing the patient to report if the drug is not effective
4
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The nurse inspects the client's surgical incision in the postanesthesia care unit and notes severe hemorrhaging. Which is the most important intervention for the nurse to implement?
1. Call for assistance. 2. Take blood pressure. 3. Apply direct pressure. 4. Apply a pressure dressing.
Recognizing that communication is the primary tool of psychiatric mental health nursing, you are cognizant of the impact of nonverbal components such as tone of voice
If a client from a Middle Eastern country approaches you and says in a forceful voice, "Give me your newspaper," you will: a. move away, thinking that the client is dangerous and rude b. find out if this tone and behavior is normal in the client's culture c. call for help immediately d. have an interpreter tell the client that he or she needs to ask for things politely
When the nurse is discussing sexuality and sexual issues with adolescents, a permission statement helps to convey that it is normal to think or feel a certain way. Which of these is the best example of a permission statement?
A) "It is okay that you have become sexually active." B) "Often girls your age have questions about sexual activity. Have you any questions?" C) "If it is okay with you, I'd like to ask you some questions about your sexual history." D) "Often girls your age engage in sexual activity. It is okay to tell me if you have had intercourse."
A nurse assesses a client's capillary refill and finds it to be less than 2 seconds. Which of the following would the nurse do next?
A) Document this finding as normal. B) Recheck in 5 minutes after elevating the arm. C) Reassess after applying warm compresses. D) Refer the client for medical follow-up.