After undergoing dural puncture while receiving epidural pain medication, a patient complains of a headache. Which action can help alleviate the patient's pain?
1) Encourage the client to ambulate to promote flow of spinal fluid.
2) Offer caffeinated beverages to constrict blood vessels in his head.
3) Encourage coughing and deep breathing to increase CSF pressure.
4) Restrict oral fluid intake to prevent excess spinal pressure.
ANS: 2
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A patient has been admitted for severe psoriasis. The nurse expects to see what finding in the patient's fingernails?
a. Splinter hemorrhages b. Paronychia c. Pitting d. Beau lines
he nurse is caring for a client diagnosed with systemic lupus erythematosus (SLE). What does the nurse understand about the etiology and pathogenesis of this condition? Select all that apply.
A) Clinical manifestations are mediated by antibody formation and the creation of immune complexes (IC). B) Lupus is more common in men than in women. C) Lupus can be drug-induced by the body's overreaction to medications such as isoniazid, hydralazine, and procainamide. D) It is most common in individuals of Hispanic and Latino descent. E) The rate ICs are cleared in the liver and spleen are believed to be impaired in SLE.
Why is it more challenging to get staff who work in public/community services engaged in QI than in the hospital?
1. QI is not as critical to care in the community. 2. A QI plan is better in the hospital. 3. The need for data collections is more important in the community. 4. Community staff are more dispersed.
A client is receiving warfarin (Coumadin) for a chronic condition. Which client statement requires immediate action by the nurse?
a. "I will avoid contact sports." b. "I will take my medication in the early evening each day." c. "I will increase dark-green, leafy vegetables in my diet." d. "I will contact my health care provider if I develop excessive bruising."