After cleaning a client's bedside table, the nurse notes that the client seems upset. The nurse realizes that which of the following had been violated?
1. Personal space
2. Territory
3. Professional boundaries
4. Personal values
2
Rationale: Personal space is the distance people prefer in interactions with others.
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What intervention should the nurse implement when preparing the patient for a glucose tolerance test (GTT)?
a. Restrict water intake before the test b. Encourage water intake before the test c. Keep patient NPO 4 hours before the test d. Instruct patient to have a full bladder for the test
The nurse is planning interventions to achieve the goal of maintaining glycemic control for an older patient with type 2 diabetes mellitus. Which interventions will the nurse include in this patient's plan of care? Select all that apply.
1. Teach to prevent hypoglycemia. 2. Emphasize the role of physical exercise. 3. Review the manifestations of complications. 4. Stress the importance of avoiding carbohydrates. 5. Instruct in self-monitoring of blood glucose levels.
Which instruction is the most accurate for the nurse to give a client who has a patient-controlled analgesia device (PCA) after abdominal surgery?
a. "Instruct your visitors to press the button for you when you are sleeping." b. "Push the button every 15 minutes wheth-er you feel pain at that time or not." c. "Push the button when you first feel pain instead of waiting until pain is severe." d. "Try to go as long as you possibly can before you press the button."
The nurse would expect a physician to prescribe which medication to a postpartum client with heavy bleeding and a boggy uterus?
1. Methylergonovine maleate (Methergine) 2. Rh immune globulin (RhoGAM) 3. Terbutaline (Brethine) 4. Docusate (Colace)