Which health care provider order should the nurse question?

1. Endotracheal suctioning every hour
2. Endotracheal suctioning as needed
3. Maintain NPO status while client is ventilated
4. Intake and output every 4 hours


Endotracheal suctioning every hour

Rationale: Suctioning of a client should always be based upon client need and not routinely ordered. The other orders would be not be abnormal.

Nursing

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With what type of professionals are skilled nursing facilities mandated to staff facilities?

a. Licensed health professionals around the clock b. RN in charge on each shift c. RNs to supervise the patient care given by aides d. Only RNs to provide complex care

Nursing

A patient is taking cyclosporine (Sandimmune) and prednisone to prevent organ rejection after right renal transplantation. The patient is febrile and complains of right-sided flank pain

The nurse reviews the patient's chart and finds that the patient's BUN and serum creatinine are elevated. The cyclosporine trough is 150 ng/mL. What will the nurse do? a. Be concerned that the left kidney is failing. b. Expect the provider to order intravenous methylprednisolone. c. Request an order for a urine culture. d. Suspect nephrotoxicity secondary to an elevated cyclosporine level.

Nursing

The nurse is interviewing a 50-year-old with a suspected cognitive disorder. The client has a long history of alcoholism

When the nurse asks if he is employed, the client replies that he is currently employed as a conductor on a national railway system. The client's wife takes the nurse aside and informs her that the client has not worked for several years and never worked for the railway. The nurse attributes the client's answer to which of the following explanations? A) The client is ashamed that he is unemployed and trying to cover for it. B) The client may be manipulating the nurse. C) The client may be going through alcohol withdrawal. D) The client may have Wernicke-Korsakoff syndrome.

Nursing

Which of the following categories of medications may be prescribed for a rape victim that is experiencing post-traumatic stress disorder?

A) Neuroleptics B) Typical antipsychotics C) Antidepressants D) Mood stabilizers

Nursing