The nurse includes information in the nursing care plan pertinent to the patient's needs as they relate to drug administration, which include__________________________. (Select all that apply.)
a. schedule for drawing blood values
b. patient's need for crushing medication
c. patient's preference as to the use medium in which to give crushed medicines
d. schedule of medication and dose times
e. parameters of pulse or blood pressure, if significant to administration
ANS: A, B, C, E
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The mother of a late school-age female client voices concern to the nurse regarding her daughter's breast development and breast tenderness. Which response by the nurse is the most appropriate to the client's mother?
1. "I understand your concern. Your daughter is very young for breasts to be developing. Children this age are not equipped to deal with these changes." 2. "I will let her primary care provider know that an exam is necessary due to your daughter's symptoms." 3. "I wouldn't worry about it unless the tenderness continues or worsens." 4. "Breast enlargement and tenderness is common for children of this age, but I will inform her primary care provider of your concerns."
The nurse working in the delivery room assesses a newborn infant delivered vaginally. The infant has a strong cry, is moving all extremities vigorously, and its color is pink. Which action by the nurse is the priority?
1. Stimulate the infant. 2. Encourage infant-maternal bonding. 3. Dry the infant. 4. Administer oxygen.
You are giving an educational event to a local men's group about prostate cancer. What nationality should you be sure to tell the attendees of this event should receive information regarding the predisposition of prostate cancer?
A) Native Americans B) Euro-Americans C) African Americans D) Asian Americans
The nurse reports the observation that would indicate blocked flow of bile from the liver to the intestine, which is:
1. clay-colored stools. 2. jaundice. 3. high blood pressure. 4. tachycardia.