Which statement to the nurse from a patient with jaundice indicates a need for teaching?
a. "I used cough syrup several times a day last week."
b. "I take a baby aspirin every day to prevent strokes."
c. "I use acetaminophen (Tylenol) every 4 hours for back pain."
d. "I need to take an antacid for indigestion several times a week"
c. "I use acetaminophen (Tylenol) every 4 hours for back pain."
Chronic use of high doses of acetaminophen can be hepatotoxic and may have caused the patient's jaundice. The other patient statements require further assessment by the nurse, but do not indicate a need for patient education.
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A client with chronic pain tells the nurse that he prays while he does his morning exercises. The nurse realizes that prayer:
a. helps focus the client. b. provides comfort and support. c. is really meditation. d. keeps the mind occupied while the body is exercising.
After analyzing assessment data, the home health care nurse determines that a change is necessary in the medical care of a patient. The nurse makes the change without consulting the physician
Under which circumstance is this a legal action by this nurse? 1. If the nurse is experienced and sure the change will not harm the patient 2. If there is a signed, standing order for the change 3. If the nurse is certain the physician will agree with the change 4. If the patient's family agrees that the action is necessary
If a late postpartum hemorrhage is documented on a client who delivered 3 days ago, the nurse recognizes that this hemorrhage occurred:
a. on the first postpartum day. b. during recovery phase of labor. c. during the third stage of labor. d. on the second postpartum day.
The nurse is administering pain medication for several patients. Which patient does the nurse administer medication to first?
a. The patient who needs to take a scheduled dose of maintenance pain medication b. The patient who needs to be premedicated before walking c. The patient with a PCA running who needs to have the syringe replaced d. The patient who is experiencing 8/10 pain and has a STAT order for pain medication