A client is placed on a respirator following a cerebral hemorrhage, and vecuronium bromide (Norcuron) 0.04 mg/kg q12h IV is prescribed. Which nursing diagnosis is the priority for this client?
A) Impaired communication related to paralysis of skeletal muscles.
B) High risk for infection related to increased intracranial pressure.
C) Potential for injury related to impaired lung expansion.
D) Social isolation related to inability to communicate.
Answer: A) Impaired communication related to paralysis of skeletal muscles.
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The nurse is preparing to administer diazepam (Valium) to a client who is experiencing anxiety. According to the schedule for controlled substances, the nurse realizes that this drug is a schedule 4 drug with:
1. low abuse potential. 2. limited abuse potential. 3. moderate abuse potential. 4. high potential abuse and no accepted medical use.
A nursing student tells a peer, "There's so much to remember that I'm afraid I'll never pass the skill evaluation for changing a sterile dressing."
A helpful response by the peer would be based on the understanding that for most nursing students, psychomotor/clinical skills can best be learned by a. performing them. b. reading about them. c. watching a peer practice them. d. watching a filmstrip about them.
Most medications used to treat dysrhythmias block ion channels. Which ion is not blocked when treating dysrhythmia?
1. Magnesium 2. Sodium 3. Calcium 4. Potassium
Which of the following is NOT a part of the procedure for collecting a clean-catch specimen?
A) obtain antiseptic solution for cleansing purposes B) insert a sterile catheter C) cleanse the genital area D) catch the urine after the patient begins to void