A client on 2 gm/hr of magnesium sulfate has decreased deep tendon reflexes. Identify the priority nursing assessment to insure client safety
A) Assess uterine contractions continuously.
B) Assess fetal heart rate continuously.
C) Assess urinary output.
D) Assess respiratory rate.
D
Assess respiratory rate.
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The patient has shiny ulcerations on a red base over the medial calf of the right leg. There is quite a bit of fluid drainage. He takes anticoagulants because of recurrent deep vein thrombosis. He also reports a sedentary lifestyle
How would the nurse classify this chronic wound? a. Pressure ulcer b. Venous stasis ulcer c. Diabetic foot ulcer d. Arterial ulcer
A man came for follow-up care to the free clinic, explaining that he had applied for a job based on his education and years of previous work experience, but, being in a wheelchair, he was turned down
Which of the following responses would be most appropriate for the nurse? a. "If you know you can do the job, go to the free legal aid clinic for assistance. The employer may not know the law." b. "No one would want to hire a handicapped person, so you can continue to come here for free care." c. "Because it can be expensive to obtain the necessary equipment to help you do that job, the employer has every right to refuse to hire you." d. "The law says, if a handicapped person applies, he or she has to get hired even if an able-bodied person also applies."
A patient is admitted to the Neuro ICU with a C4 spinal cord injury. When writing the plan of care for this patient, what nursing diagnoses would the nurse document as a priority for this patient?
A) Risk for impaired skin integrity related to immobility and sensory loss B) Impaired physical mobility related to loss of motor function C) Ineffective breathing patterns related to weakness of the intercostal muscles D) Urinary retention related to inability to void spontaneously
Which substance forms the tough, horny layer of the skin?
A) Mucopolysaccharides B) Fat C) Keratin D) Vitamin D