A nurse is to administer nitroglycerin ointment to a client. It is essential that the nurse FIRST:

a. squeeze the dosage on the medication measuring strip
b. take the client's apical pulse
c. remove the current strip and clean the site before applying new ointment in another site
d. ask the client about any episodes of angina before applying new ointment


C
When administering ointments, such as nitroglycerin, to prevent the risk of overdose or toxicity, remove the current strip and clean the site before applying new ointment in another site.

Nursing

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The nurse recognizes that the person guilty of child abuse may have which symptoms?

1. Physical illness 2. Alcoholism 3. Many friends and families nearby 4. Unrealistic expectations for their child 5. The abuser has no relationship to the child.

Nursing

A client is admitted for psychiatric observation after being arrested for breaking windows in the

home of his former girlfriend, who had refused to see him. His history reveals abuse as a child by a punitive father, torturing family pets, and one arrest for disorderly conduct. The nursing diagnosis that should be considered for development is a. risk for injury. b. posttrauma syndrome. c. disturbed thought processes. d. risk for other-directed violence.

Nursing

A nurse is assessing a client for pain. The client does not speak English and has difficulty expressing himself. What method would be best for the nurse to use to rate the intensity of pain?

A) FLACC scale B) Wong-Baker Faces Pain Scale C) McGill-Melzack Pain Questionnaire D) Numerical scale 0 to 10

Nursing

Nurses may be involved in adoption counseling with teen mothers. An important concept for nurses to keep in mind is:

1. Use "unwanted pregnancy" in the discussion 2. When speaking of adoption, use the words "giving the child away" 3. Describe the details of raising a child in order to influence adoption decisions 4. Do not impose opinions on the decision-making process of teen mothers

Nursing