The nurse is caring for a patient receiving an oral fungicide to treat a systemic fungal infection. What intervention would the nurse include in the plan of care?
A) Maintain complete bed rest.
B) Assess for cyanosis every 4 hours.
C) Administer medication 1 hour before meals.
D) Monitor nutritional status.
D
Feedback:
Monitor nutritional status and arrange a dietary consultation as needed to ensure nutritional status secondary to gastrointestinal (GI) upset related to medication. Complete bed rest is unnecessary. Cyanosis is not an anticipated problem. Medications should be given with food not before meals.
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Which of the following actions should a nurse take to ensure personal safety when engaging in home visits? (Select all that apply.)
a. Always sit between the client and the exit, and, when in doubt, leave the situation b. Be sure of the correct address and always have a GPS system c. Carry a cell phone and drive in a well-maintained car with a full gas tank d. Have enough money that you can buy your way out of trouble e. Only accept assignments within a few blocks of your own home f. Take self-protection courses such as karate and carry a weapon for your own defense
A 93-year-old woman is seen by the nurse practitioner for a routine appointment. She is accompanied by the 74-year-old daughter. The two women live together in a house. The older woman uses a walker and wheelchair to supplement her walking as needed
The older woman needs minor assistance with her hygiene needs. The daughter is in good health and is attentive to her mother's and her own needs. Family members visit the women on a daily basis. An appropriate nursing diagnosis is A) risk for caregiver role strain. B) social isolation. C) coping, ineffective. D) self-esteem deficits.
Which finding from the social and history assessment of a patient admitted for chest pain would the nurse evaluate as carrying the highest risk for heart disease?
1. The patient is overweight and carries the weight around the waist. 2. The patient's mother died at age 70 of an acute myocardial infarction. 3. The patient is a single mother of four young children and has a low income. 4. The patient has a desk job and works long hours.
Which is a main disadvantage to home visits?
a. Convenience for the client b. Time spent with one client c. Client control of the setting d. Ability to individualize services