The nurse is assessing a client for a history of cancer. To aid in this assessment, the nurse can use which of the following words as a mnemonic?
1. CAUTION
2. ACTION
3. RACE
4. OLDCART
1
The word CAUTION can be used as a mnemonic to assess a client for cancer. ACTION is not used for this assessment. RACE is often used to respond to a fire. OLDCART is often used to assess for pain.
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The nurse is preparing two medications from separate vials in one syringe. After injecting air into vial A, which action by the nurse is the most appropriate?
1. Changing needles and injecting air into vial B 2. Changing needles, injecting air into vial B, and then withdrawing medication from vial A 3. Injecting air into vial B, changing needles, and withdrawing medication from vial A 4. Changing needles, injecting air into vial B, withdrawing medication from vial B, and then withdrawing medication from vial A
A community mental health nurse visits a client who lives in a community residence. On two
sequential visits, the client makes veiled references to receiving verbally abusive treatment at the hands of one of the residence aides. The action the nurse should take is to a. understand that psychiatric clients often feel abused. b. listen and wait to see if the client continues to report the abuse. c. confront the residence aide with the client's allegations. d. report the client's comments to the protection and advocacy agency.
A health care provider prescribes choline magnesium trisalicylate (Trilisate), 15 mg/kg PO every 8 to 12 hours as needed for pain. The child weighs 10 kg. The medication label states: "Choline magnesium trisalicylate 500 mg/5 mL." The nurse prepares to ad
administer one dose. How many milliliters will the nurse prepare to administer one dose? Fill in the blank. Record your answer to one decimal place.
A client comes to the emergency department with a temperature of 104°F. Which assessment findings should the nurse use to determine if this client is experiencing heat stroke?
1. Delirious 2. Pale and dizzy 3. Skin warm and flushed 4. No evidence of sweating 5. Had been playing tennis in the sun