The nurse is caring for a patient who is comatose. Her intervention is appropriate when she performs oral care:
a. every shift.
b. twice daily.
c. every 4 hours.
d. daily.
ANS: C
Oral care should be performed every 4 hours to prevent the colonization of bacteria. Less often than every 4 hours is not effective.
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The nurse is assessing the patient for the presence of a Chvostek's sign. What electrolyte imbalance would a positive Chvostek's sign indicate?
A) Hypermagnesemia B) Hyponatremia C) Hypocalcemia D) Hyperkalemia
What actions should a nurse initiate if named in a lawsuit? Select all that apply
A. Respond to the complaint. B. Never sign a document without showing it to an attorney or legal representative C. Maintain a file of all meetings and conversations D. Withhold information that may be incriminating to you
A 37-year-old man has been diagnosed with Pneumocystis jiroveci pneumonia (PCP) and has been prescribed intravenous pentamidine isethionate (Pentam 300). In order to enhance the therapeutic effects of the drug, the nurse will
A) administer the drug by itself. B) administer it with a saline solution. C) place the patient in an upright position for administration. D) give the drug at bedtime to ensure faster absorption.
A client drank 3 ounces (oz) of a glass of apple juice. This was 75% of the full amount. What was the full amount of apple juice?
ANS: