A patient is hospitalized for heart failure and is scheduled to receive oral digoxin at 8 AM. The nurse will withhold the medication and notify the prescriber if the patient's
A) weight is over 300 pounds.
B) respiratory rate is 24.
C) pulse is 52 beats per minute.
D) blood pressure is 140/86.
A
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The nurse is caring for a patient on the medical–surgical unit postoperative day 5. During each patient assessment, the nurse evaluates the patient for infection. Which of the following would be most indicative of infection?
A) Presence of an indwelling urinary catheter B) Rectal temperature of 99.5ºF (37.5ºC) C) Red, warm, tender incision D) White blood cell (WBC) count of 8,000/mL
Four weeks after returning from a tropical vacation, a 40-year-old man has presented to the emergency department with malaise, nausea, and "yellow eyes."
Serology has confirmed a diagnosis of hepatitis A (HAV), to the shock of the client. What teaching is most appropriate for this client? A) "You can expect these symptoms to disappear after about 2 months, but you'll be a carrier of the disease indefinitely." B) "A vaccine before your trip would have prevented this, but be assured your body will rid itself of the virus in time." C) "You likely came in contact with blood or body fluids at some point, and you'll have to ensure no one is subsequently exposed to your own blood or body fluids." D) "You likely got this by way of what we call the 'fecal-oral' route; you will have chronic hepatitis now, but the symptoms can be controlled with medication."
A nurse medicates a client with a sedative medication and does not put up the side rails on the client's bed
The client falls out of bed, fractures a hip, and later dies of a pulmonary embolus suffered after corrective surgery for the hip fracture. The nurse's failure to put up the side rails is considered which of the following elements explored in a lawsuit brought by the family? 1. duty 2. breach of duty 3. causation 4. damages
A patient with carpal tunnel syndrome is being treated conservatively. Which information would the nurse provide?
1. "Your wrist will be casted for the first 3 weeks, followed by a protective splint for the next 6 to 8 weeks.". 2. "Exercise your wrist for complete rotation and ROM every 4 hours while awake.". 3. "Wear a brace or wrist splint at night and during activities that aggravate the symptoms.". 4. "Wear an external hinge splint to support the wrist for several months.".