The nurse teaches older clients that they are at risk of corneal irritation related to:
a. Impaired eye closure.
b. Ptosis.
c. Diminished tearing.
d. Frequent blinking.
ANS: C
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The nurse attends interprofessional meetings to discuss the plan of care for a trauma patient who has been transferred to the medical-surgical unit. In what role is this nurse functioning?
A. Advocate B. Team leader C. Delegate D. Caregiver
The nurse is working with a group of caregivers of 6 year olds. One of the mothers states her son has been lying and making up stories; she asks for some advice about how to address the issue
Which of the following would be an appropriate response by the nurse? A) "Your child could be in serious trouble in school if he continues to tell lies." B) "The child should have privileges taken away for several days each time he tells a lie." C) "Is there any possibility he is telling the truth and you just don't know it is the truth?" D) "Children this age sometimes can't distinguish between fantasy and reality."
A patient with pancreatitis is complaining of pain at a level of 10 on a scale of 0 to 10 . The doctor has ordered IV fentanyl citrate (Sublimaze) every 4 hours prn for pain and lorazepam (Ativan) every hour prn for agitation
The last dose was given 3 hours ago. The patient's respiratory rate is 22 per minute with full depth. What is the best nursing action? A) Obtain an order for meperidine (Demerol) to prevent sphincter of Oddi spasm. B) Administer IV fentanyl now, as the patient is in pain. C) Administer IV lorazepam for agitation. D) Consult the physician for an increase in fentanyl frequency.
An essential part of the admission procedure performed by the RN is to:
a. secure the patient's valuables. b. confirm the type of insurance coverage. c. obtain a health history. d. familiarize the patient with the room.