A nurse is caring for a client in isolation. What guideline should the nurse follow when
taking the vital signs of the client in the isolation room?
A) Bring items from outside into the isolation room
B) Wear gloves and other personal protective equipment (PPE) as indicated
C) Use unit thermometers and stethoscopes
D) Choose oral temperature measurement over rectal
B
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A client with a traumatic brain injury is agitated and fighting the ventilator. What drug should the nurse prepare to administer?
a. Carbamazepine (Tegretol) b. Dexmedetomidine (Precedex) c. Diazepam (Valium) d. Mannitol (Osmitrol)
The nurse is teaching the main principles of hemodialysis to a client with chronic kidney disease. Which statement by the client indicates a need for further teaching by the nurse?
a. "My sodium level changes by movement from the blood into the dialysate." b. "Dialysis works by movement of wastes from lower to higher concentration." c. "Extra fluid can be pulled from the blood by osmosis." d. "The dialysate is similar to blood but without any toxins."
The nurse is designing a health education program for the community. What action should the nurse take first?
1. Prioritize learning needs. 2. Write specific outcomes. 3. Assess the community. 4. Select teaching strategies.
During a home visit the population nurse determines that a child with type 1 diabetes mellitus is activity participating in self-management. What did the nurse observe to come to this conclusion?
1. Mother makes the child lunch. 2. Child measure capillary blood glucose. 3. Brother waits to play with the child outdoors. 4. Older sister takes the child to the playground.