The nurse instructs a person taking phenytoin (Dilantin) that periodic blood tests will be necessary. The nurse explains that the laboratory checks will monitor for which potential medi-cation-induced change?
a. Potassium depletion
b. Liver damage
c. Increasing creatinine
d. Increasing sedimentation rates
B
Periodic blood tests are recommended for people taking phenytoin to monitor for liver damage.
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The nurse manager of a subacute geriatric unit of a hospital recognizes the need to reduce the incidence of pressure ulcers in patients on the unit
Which of the following protocols and procedures are associated with a decreased risk of pressure ulcers? (Select all that apply.) A) All patients are turned every 2 hours both during the day and during the night. B) Care providers are encouraged to lift rather than slide patients during transfers. C) Staff is discouraged from turning patients who are using a pressure-reducing mattress. D) Records of food and fluid intake are kept for each patient. E) Oils are added to patient baths and lotions applied thereafter.
When providing a client with active immunization, the nurse will need to administer an:
a. antigen. c. interferon. b. antibody. d. immunosuppressant.
A psychiatric–mental health patient has an advance care directive on his medical record. A clinician provides treatment that disregards the patient's directive. The clinician would be liable for which of the following?
A) Assault B) Battery C) Medical battery D) False imprisonment
A nurse assesses the urinary elimination of older adults. Which of the following actions by the nurse is most appropriate?
A) Work to identify terms that the older adult comprehends. B) Wait until the person initiates a discussion of this embarrassing topic. C) Give the interview questions to the client in writing. D) Ask the older adult to keep a urination diary.