You are admitting a new resident. You will do which of the following?
a. Measure the person's vital signs.
b. Measure the person's urinary output.
c. Bathe the person before allowing her in her room.
d. Tell the person about treatments and the care plan.
A
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A client with a history of heart failure and hypertension is in the clinic for a follow-up visit. The client is on lisinopril (Prinivil) and warfarin (Coumadin). The client reports new-onset cough. What action by the nurse is most appropriate?
a. Assess the client's lung sounds and oxygenation. b. Instruct the client on another antihypertensive. c. Obtain a set of vital signs and document them. d. Remind the client that cough is a side effect of Prinivil.
An adolescent client with terminal cancer tells the nurse that she does not want any more treatment, even though her parents are planning for her to participate in a study trial that involves aggressive chemotherapy
Which action by the nurse is the most appropriate? A) Tell the client that the decision is her parents' and she has to participate in the study. B) Tell her that, at 16, she can make her own decisions no matter what her parents want. C) Request that the parents and daughter meet together with the healthcare team to discuss options and the implications of various choices. D) Tell her not to worry, that she knows her parents want the best for her.
A nurse is assessing a client after administering a diuretic. Which of the following would lead the nurse to suspect that the client is experiencing a fluid and electrolyte imbalance? Select all that apply
A) Dry mouth B) Diaphoresis C) Muscle cramps D) Hypertension E) Tachycardia
Reflecting on the impact of wars on the evolution of nursing, the nurse realizes that:
a. the need for nurses increased during and after major wars. b. poor conditions during wars caused a decline in nursing care. c. wars have been the stimulus for most nursing advances. d. wars have had little effect on the evolution of nursing.