A nurse is caring for a client with Crohn disease whose magnesium level is 1.0 mEq/L (0.5 mmol/L). Which assessment findings does the nurse expect to note?
A. Hypotension
B. Abdominal distention
C. Trousseau sign
D . Skeletal muscle weakness
E. Decreased deep tendon reflexes
Answer:
B. Abdominal distention
C. Trousseau sign
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Which of the following nursing diagnoses would the nurse anticipate for a family who has a child with acquired immune deficiency syndrome (AIDS)?
1. Anticipatory Grieving 2. Compromised Family Coping 3. Impaired Parenting, risk for 4. Parental Role Conflict
The nurse has completed bed bath on a client who is obese. The client asks you to sprinkle baby powder in the perineal area. Which of the following actions is correct?
A) Inform the client that baby powder is not used because it may become a medium for bacterial growth. B) Carefully apply baby powder to skin folds only. C) Pour a small amount of powder into the hand and gently pat the perineal area while avoiding aerosolization of the powder. D) Apply a generous amount of baby powder to all areas where skin touches skin.
A patient was admitted to the emergency department in a grossly intoxicated state. The nurse has been monitoring him for withdrawal symptoms and has been medicating him with prn medications
Four days after admission, he appears much more comfortable and less tremulous. His vital signs are only slightly elevated. Which is the appropriate nursing intervention at this time? A) Withhold prn medications because they are potentially addictive. B) Increase the amount of prn medications because potentially fatal complications can occur up to 1 week after the last drink. C) Ask the doctor to prescribe a less potent medication to lower the chances of substitute addiction. D) Remain vigilant for withdrawal complications and continue to administer medications on an as-needed basis.
You find your client Mr. Williams uncon scious on the floor in his apartment. After you determine that there is a pulse and he is breathing, you should immediately
You find your client Mr. Williams uncon scious on the floor in his apartment. After you determine that there is a pulse and he is breathing, you should immediately a. call your case manager b. begin CPR c. call your clientÃs son d. dial 911 and follow their directions