The nurse records care of a client who is medicated for pain. The most accurate entry would be:
1.
2.
3.
4.
2
Rationale: Assessments, interventions and client responses are recorded in the order in which they occur. Every intervention needs an evaluation to be considered complete
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A hospitalized diabetic child is sweating, nauseated, and has a headache. What action by the nurse takes priority?
A. Administer sliding-scale insulin. B. Call laboratory for a stat blood sugar. C. Give the child some orange juice. D. Perform a urine ketone test.
The nurse is determining the extent of the damage caused by a huge tornado. The number of deaths and injuries caused by the tornado is included in the assessment. What type of assessment does this best describe?
1. Predisaster assessment. 2. Rapid postdisaster assessment. 3. Postdisaster assessment. 4. Disaster assessment.
To prevent a drug overdose from receiving two doses too close together, what should you do immediately after giving a PRN pain drug?
a. Ask if the patient's pain has been relieved. b. Check the patient's vital signs. c. Notify the prescriber. d. Document the action.
When prescribing temazepam (Restoril) for insomnia, patient education includes:
1. Take temazepam nightly approximately 15 minutes before bedtime. 2. Temazepam should not be used more than three times a week for less than 3 months. 3. Drinking 1 ounce of alcohol will cause additive effects and the patient will sleep better. 4. Exercise for at least 30 minutes within 2 hours of bedtime to enhance the effects of temazepam.