The nurse is measuring a client with a fractured femur for crutches, and obtains which of the following measurements?
1. The distance from axilla to the heel
2. The distance from axilla to 6-8 inches from the heel
3. The distance from the shoulder to the heel
4. The distance from the axilla and the fingertips
2
Rationale: The nurse measures from the axilla to 6-8 inches in front of the heel in order to determine how long the crutch needs to be when moving forward.
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A nurse is reviewing a client's medication administration record and notes that the specified route for a particular medication is "pr", denoting rectal administration
Rectally administered medications are most commonly administered in what form? A) Enema B) Suppository C) Ointment D) Inunction
The nurse is caring for a dying client who is receiving as much pain medication as possible and continues to experience severe pain. The client begs the nurse to let death come. Which action should the nurse take next?
1. Turn off all fluids and let the client die. 2. Give the client an extra dose of pain medication to cause respiratory depression. 3. Request a psychiatric consult. 4. Check for an advanced directive on the client's chart.
Where is hospice care provided?
1. nursing home 2. hospital 3. inpatient facility 4. all of the above
The mother of a child 2 years of age tells the nurse she always cleans the child's ears with a hairpin. What would the nurse tell the mother?
A) "That's not good. Use a Q-tip or your finger instead." B) "You really like to keep your child clean. Good for you!" C) "That is dangerous; you might puncture the eardrum." D) "Show me exactly how you use the hairpin."