Where is the medication administered when the order reads ID?
A. into a muscle
B. under the first layer skin
C. into a vein
D. under the skin
B
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The nurse is caring for a patient who has a stage 4 pressure ulcer that is 2 cm in diameter and 2 cm deep. Bone is visible in the wound. Which patient assessment finding should be communicated to the RN immediately?
a. Yellow wound drainage b. A reddened area adjacent to the ulcer c. Patient report of pain d. Pink grainy appearance at wound edges
A child has acute kidney injury following a serious motor vehicle crash. Which intervention takes priority?
A. Administer IV fluids and blood products. B. Insert an indwelling urinary catheter. C. Monitor hourly urine output measurements. D. Place the child on a low-sodium diet.
A nurse ends a relationship with a patient. Which action(s) by the nurse should be included in the termination phase? (Select all that apply.)
a. Establish expectations of how long the relationship will last. b. Work with the patient to identify strengths, limitations, and problems. c. Help the patient express feelings about the relationship with the nurse. d. Help the patient prioritize and modify socially unacceptable behaviors. e. Focus dialogues with the patient on problems that may develop in the future.
The nurse is performing a focused assessment on a client experiencing depression. The client makes the statement that life and trying to live are useless. How should the nurse respond to the client?
1. "Why do you feel like this?" 2. "You shouldn't feel like that." 3. "Shall I call your children?" 4. "Have you thought about hurting yourself?"