What assessment indicates fetor hepaticus?
A. Purpuric lesions on the extremities
B. A fruity or musty breath odor
C. Warm and bright red palms
D. Jaundice of the sclera
B
Fetor hepaticus is a distinctive breath odor present with chronic liver disease. There is a fruity or musty odor to the client's breath.
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The nurse is preparing to administer a routine dose of phenytoin (Dilantin). The physician orders phenytoin (Dilantin) 500 mg intravenous every 6 hours. What is the best action by the nurse?
a. Administer over 2 minutes. b. Administer with 0.9% normal saline intravenous. c. Contact the physician. d. Assess cardiac rhythm.
When evaluating the nursing interventions used with a client exhibiting psychophysiologic behaviors, what is the nurse's focus?
A) The client's ability to recognize the underlying psychologic stress and anxiety B) The client's ability to decrease the manipulative behavior C) The client's ability to perform self-care activities independently and willingly D) The client's ability to verbalize the physical deficits
The culturally sensitive nurse will assess cultural attitudes and beliefs about contraception, which can include which of the following? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Gender inequities 2. Religion 3. Deference to authority figures 4. Devaluation of large families 5. Attitudes about bleeding
The first step in stopping verbal abuse is
a. to feel humiliated and not respond. c. to react appropriately in the moment of disruptive behavior. b. to be taken aback and cry. d. to reply back with a firm, cutting response.