A nurse would most appropriately administer medication via the rectal route to
1. A 56-year-old who has had surgery for rectal cancer.
2. A 45-year-old with severe nausea and vomiting, who is unable to keep anything down.
3. A 58-year-old with a recent myocardial infarction and ventricular dysrhythmias.
4. A 2-year-old with a newly diagnosed seizure disorder.
ANS: 2
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The nurse prepares to apply a dressing for a patient who has a full-thickness wound with moderate exudate and necrosis. Which is the best nursing intervention to help the patient achieve an expected long-term outcome for this wound?
a. Assess the wound for sinus tracts and tunneling. b. Maintain oxygenation with supplemental oxygen. c. Pack the wound lightly with a wet-to-dry dressing. d. Provide a well-balanced diet with high-quality protein.
Your client, whose spouse died 6 months ago, states that she senses her husband during her dreams. You recognize this as:
1. deception. 2. denial of her husband's death. 3. a grief attack. 4. a searching behavior.
During the initial prenatal visit, the nurse obtains a weight of 42 kg (92.4 lbs). The nurse must further assess the patient for information about: Note: Credit will be given only if all correct and no incorrect choices are selected
Select all that apply. 1. Eating habits. 2. Foods regularly eaten. 3. Income limitations. 4. Blood pressure and pulse rate. 5. Weight loss during pregnancy.
With concern for air quality, most healthcare facilities have taken action to prevent pollution. The nurse needs to make sure that each client is comfortable because usually the windows do not open and heating and cooling are controlled centrally
Based on this information, the nurse would anticipate the room temperature to be effectively balanced between which ranges? A) 62°F–68°F B) 68°F–72°F C) 72°F–76°F D) 72°F–78°F