The patient is receiving a histamine-blocking agent to prevent stress ulcers. What is the most important adverse effect that the nurse expects?
A) Positive gastrointestinal guaiac
B) Reduced chemical barrier immunity
C) Absence of gastric discomfort
D) Decrease in gastric pH
B
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A nurse is on the elevator when two other nurses enter and start talking negatively about a family member of a client on the floor. The nurse would do which of the following?
1. Ask the nurses to stop talking in public. 2. Report the nurses to the unit manager. 3. Report the nurses to the risk manager. 4. Speak to the nurses in a private place.
The nurse teaches an older client about minimizing the risk of falls at home. Which does the nurse include in client teaching to prevent falls from tripping?
1. Install grab bars in the bathtub and near the toilet. 2. Keep furniture and pathways in consistent pattern. 3. Have a neighbor check on the client every afternoon. 4. Secure throw rugs to the floor with double-sided tape.
A patient with Class II heart disease is in the third trimester of her pregnancy and the obstetrician has ordered bed rest for her for the final month. In what position should the nurse advise the patient to sleep?
A) Lie flat on her back B) Stay in high-Fowler position C) Lie in a semirecumbent position D) Use pillows and wedges to stay in a fully recumbent position
Writing nursing notes by exception: a. reduces repetition and time-consuming charting. b. ensures that all standards are met with a normalresponse
c. readily identifies changes. d. all of the above.