An older patient is receiving an NSAID for postoperative pain. What should the nurse assess in this patient?
1. urine output
2. blood pressure
3. respiratory rate
4. heart rate
Correct Answer: 1
NSAIDs can be given safely to older patients, but they should be observed closely for side effects, particularly gastric and renal toxicity. The nurse should monitor the patient's urine output to determine renal function. NSAIDs do not usually affect blood pressure, respiratory rate, or heart rate.
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A client who is nearing high school graduation is unable to finish out the year, cries at night, has difficulty sleeping, and does not want to attend classes. Which type of crisis does the nurse identify?
1. Trauma from previous crisis 2. Situational crisis 3. Recoil response 4. Maturational crisis
In which of the following situations did the nurse disregard the patient's right to privacy?
a. Informing the physician that the patient was verbalizing suicidal thoughts b. Notifying the health department of a patient's tuberculosis diagnosis c. Reporting possible dependent-adult abuse to the police d. Warning a visitor to wear gloves when giving a back rub because the patient is HIV positive
Using Hildegard Peplau's theory of nursing, when the nurse intervenes with a client who has made a suicide attempt, the nurse MOST needs to:
a. give unconditional positive regard b. form a significant interpersonal relationship c. maintain the client's level of self-esteem d. work to get the client involved in activities
The nurse explains to a pregnant woman that her antepartum assessment will include assessment of clinical pelvimetry. Which client response reflects understanding of the reason for this test?
1. "It will help me understand how big a baby I can have." 2. "It will be used to screen for gestational diabetes." 3. "It will be used to find out whether my baby has a chromosomal abnormality." 4. "It will help tell whether my pelvis is big enough to deliver my baby vaginally."