The nurse observes that a dying child is experiencing dyspnea. The nurse can perform which of the following interventions to help?
a. Having the child lie flat in bed
b. Administering oxygen
c. Holding the morphine
d. Avoiding changing position
B
Dyspnea is a common occurrence when death is near. The nurse would position the child in a high Fowler's position to facilitate respirations. Administering oxygen will help relieve some of the distress. Morphine diminishes the cough reflex and diminishes air hunger, so it should not be withheld. Changing positions will also help facilitate respirations.
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The nurse is providing patient teaching to a patient with early stage Alzheimer's disease (AD) and her family. The patient has been prescribed donepezil hydrochloride (Aricept). What should the nurse explain to the patient and family about this drug?
A) It slows the progression of AD. B) It cures AD in a small minority of patients. C) It removes the patient's insight that he or she has AD. D) It limits the physical effects of AD and other dementias.
The ICU nurse caring for a patient with shock is administering vasoactive medications as per orders. The nurse knows that these medications should be what?
A) Administered through a central venous line B) Titrated by dial-a-flow tubing C) Given by IV push for rapid onset of action D) Mixed with enteral feedings
You are a staff nurse working on a psychiatric unit. Your head nurse reports that a newly admitted client is withdrawn. You knock, announce yourself, and obtain the client's permission to enter the client's room
You sit about 5 feet away from the client. The client moves to the corner of the room farthest from you without ever looking up. As a psychiatric nurse, you understand that the MOST likely reason that the client moved was because the client: a. doesn't like you and is deliberately snubbing you b. is intolerant of physical closeness to others c. prefers to talk to you in a group setting rather than one-on-one d. would like to speak, but needs a better view of you
Viola is a 72-year-old woman who sees four different physicians for her medical problems: a gastroenterologist, cardiologist, a primary care physician, and a psychologist
Which of the following health promotion activities would be the highest priority for Viola? A) Establish one physician to oversee all medications for compatibility. B) Ensure that the gastroenterologist assesses Tammy's ability to absorb medications. C) Ensure that the psychologist is aware of over-the-counter medication taken by Tammy. D) Ensure the cardiologist and psychologist discuss appropriate medications for Tammy.