For a patient in the final stages of dying, a nurse expects to:
a. keep the patient's room cool.
b. avoid catheterizing the patient.
c. elevate the head of the bed as tolerated.
d. encourage the patient to eat and drink more.
C
Poor circulation of body fluids, immobilization, and inability to expectorate secretions cause rattles and bubbling. Elevate the head with a pillow or raise the head of the bed; gently turn the head to the side to drain secretions. Coolness, color, and temperature change in the hands, arms, legs, and feet. Place socks on the feet. Cover with a light cotton blanket. Keep warm blankets on the patient. Decreased muscle tone and consciousness may lead to incontinence of urine and/or bowel. Change bedding as appropriate. Use an indwelling catheter for patient comfort. Do not force the patient to eat or drink; give ice chips, soft drinks, or juice, as possible. Provide mouth care.
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The benefits of pharmacogenetics (PGx) are documented. Which reasons would the nurse list to explain why it is not more common in bedside practice?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. There are not enough laboratories prepared to offer these services. 2. Many prescribers are not aware of the PGx testing that is available. 3. Many prescribers are not aware of which PGx tests are applicable to which drugs. 4. In most cases, patients do not want any kind of genetic testing. 5. There is no simple, universal method of determining how to use the information from testing to modify prescribing habits.
An older adult patient is being evaluated for a possible duodenal ulcer (DU). Which of the following assessments supports the diagnoses? (Select all that apply.)
a. Passing a moderate amount of dark red-dish-brown stool b. Reporting a stabbing pain in the epigastric region c. Asking for "some crackers to stop my stomach cramps" d. Reporting the need to take antacid tablets "most days" e. Having a rigid abdomen about 2 hours after eating
A man who sustained a cervical spinal cord injury 2 days ago suddenly develops severe hypertension and bradycardia. He reports severe head pain and blurred vision. The most likely explanation for these clinical manifestations is that he is:
a. Experiencing acute anxiety b. Developing spinal shock c. Developing autonomic hyperreflexia d. Experiencing parasympathetic areflexia
The nursing assistant can safely ambulate a small, unsteady patient without help if a gait belt is used
Indicate whether the statement is true or false