A nurse is asked to monitor the condition of a client whose leg is in an elastic roller
bandage that has been applied. Which might indicate a block in the circulation to the
extremities?
A) Change of color in the toes and severe pain in the legs
B) Increase in the temperature over the toes
C) Symptoms of fever and vomiting
D) Symptoms of rashes and itching over the legs
A
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A nurse is preparing a presentation on serious mental illness. Which conditions should be included? Select all that apply
1. Major depression 2. Schizophrenia 3. Adjustment reaction 4. Bipolar disorder 5. Social phobia
Lorazepam (Ativan) is ordered to be given through the intravenous route for a client with status epilepticus. The client currently has an intravenous infusion of dextrose 5% and 0.9% normal saline at the rate of 125 mL/hr
Which action demonstrates the correct administration of this medication by the nurse? 1. Administering Ativan by slow IV injection over a 2- to 4-minute period. 2. Injecting the Ativan quickly via IV push. 3. Discontinuing the intravenous infusion prior to administering the medication. 4. Mixing the Ativan in a 50cc bag of NS and administering piggyback over 30 minutes.
A client asks the nurse why he or she is prescribed different types of medications for his or her anxiety and insomnia. Which response should the nurse provide the client?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. "You will be taking medications known as sedative-hypnotics." B. "You will be taking medications known as antidepressants." C. "You will be taking a medication known as paraldehyde." D. "You will be taking medications known as barbiturates." E. "You will be taking medications known as benzodiazepines."
Performing an abdominal assessment, a nurse auscultates before palpating and percussing the abdomen. The nurse performs the assessment in this manner because:
A. It is less painful for the client B. Palpation and percussion can increase peristalsis C. It identifies any potential areas of abdominal tenderness D. It gives the client more time to become comfortable with the examiner