The nurse is caring for a client with severe heart failure. What is the best position in which to place this client?
a. High Fowler's, pillows under arms
b. Semi-Fowler's, with legs elevated
c. High Fowler's, with legs elevated
d. Semi-Fowler's, on the left side
A
Placing the client in high Fowler's position, with pillows under the arms, allows for maximum chest expansion.
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When a child in the ICU has a sudden drop in pulse, the nurse would assess for
A) anxiety. B) hyperventilation. C) shock. D) hypoxemia.
The nurse assesses a client as having a tactile sensory impairment. Which of the following should be included in this client's plan of care?
a. Keep the area clear around the bed to prevent tripping. b. Instruct to date foods to avoid eating something that might be spoiled. c. Instruct to not use ice or heating pads on the body to prevent burning. d. Instruct in the need to have a smoke alarm installed in the home.
A key factor motivating passage of the Community Mental Health Centers Act in 1963 was that mentally ill individuals had been
a. hospitalized only if they demonstrated violent behavior. b. geographically isolated from family and community. c. discharged before receiving adequate treatment. d. used as subjects in pharmacologic research.
The nurse should watch for which of the following side effects when clients are receiving NSAIDs, nonsteroidal anti-inflammatory drugs, for pain:
A) diarrhea and vomiting. B) tarry black stools and epigastric pain. C) vertigo and syncope. D) confusion and memory loss.