The nurse is planning interventions to meet a patient's tertiary care needs. Which would be applicable for the patient?
A. Instruction in self-examination of breasts
B. Screening for glaucoma
C. Counseling on healthy nutrition
D. Providing preoperative instructions
Answer: D
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When a client who routinely takes the herb St. John's Wort (SJW) shares that his or her "hay fe-ver is really bad right now," the nurse initially:
a. notifies the primary care provider that the client has been self-medicating for hay fever. b. compares the client's current blood pres-sure to his/her baseline blood pressure. c. stresses the need to avoid over-the-counter (OTC) medications containing monoam-ines. d. suggests that the client stop taking the herb until the hay fever has improved.
A visitor to a long-term care institution witnesses an attendant psychologically abusing a client with dementia. What actions are suggestive of this type of abuse?
1. Scolding them after an incontinent incident 2. Insisting the client help them with their tuition 3. Not helping a client eat when they need assistance 4. The attendant stating "I cannot work here anymore because of you."
An example of battery is
a. a patient who refuses to be suctioned and is suctioned anyway after refusal. b. a patient who uses the call light and yells out repeatedly is threatened with bodily harm. c. a patient who threatens to leave the hospital against medical advice is told she will be restrained. d. a patient who refuses to take his medications is threatened with being forcibly given the medications.
The nurse is preparing to administer a unit of blood to a client and should know that which is the FIRST action of the nurse prior to the administration?