After administering diazepam (Valium) by mouth to a client who has a spinal cord injury, the nurse should expect to observe which response?
1. A decrease in muscle spasm and pain
2. Improved swallowing ability
3. A decrease in salivation and sweating
4. Improved motor coordination
Answer: 1
1. Diazepam is given to control the muscle spasms and pain associated with musculoskeletal injuries.
2. Diazepam is not given to improve swallowing.
3. Diazepam does not affect salivation and sweating.
4. Diazepam is not given to improve coordination.
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. An elderly patient while being seen in immediate care for a possible respiratory infection asks the nurse if Medicare is going to cover the cost of the visit. The nurse educates the patient to the fact that:
A) Medicare pays for only about half of all personal health costs, requiring the patient to pay the balance, so you may have to pay part of the bill. B) Medicare pays for 100% of the cost for acute care services, so the cost of your visit is covered. C) Medicare will only pay the cost for acute care services if you are very poor. D) Medicare will not pay for the cost for acute care services, so you will be billed for the services provided today.
A patient with newly diagnosed cancer states, "I can't stand to think about chemo." What is the most therapeutic response?
a. "What about chemo concerns you?" b. "Chemo is so much better than it used to be." c. "Wow! I can sure understand that!" d. "Have you had chemo before?"
The nurse is teaching a client who has been abused how to develop a safety plan. The nurse would include which of the following? (Select all that apply.)
a. Get a protection order. b. Make copies of important documents. c. Leave a bag of important documents at the home of a trusted friend. d. Purchase a firearm e. If the abuser moves out, change the locks. f. Seek out supportive family members or friends.
Which referral is most appropriate for a woman who is severely beaten by her husband, has no relatives or friends in the community, is afraid to return home, and has limited financial resources?
a. Support group b. Law enforcement c. Women's shelter d. Vocational counseling