The client receiving phenytoin (Dilantin) should be evaluated for which of the following?
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When administering Neostigmine methylsulfate (Prostigmin) f…
When administering Neostigmine methylsulfate (Prostigmin) for the treatment of myasthenia gravis, what nursing action is a priority?
The client is to receive a 100mL intravenous antibiotic ov…
The client is to receive a 100mL intravenous antibiotic over 30 minutes via an intravenous pump. At what rate should the nurse set the IV pump? __________mL/hr. Answer in a whole number only. _______
A client with meningitis is receiving Mannitol (Osmitrol). T…
A client with meningitis is receiving Mannitol (Osmitrol). The client receiving this drug should be evaluated for which of the following reactions that would prove the effectiveness of this drug? Select ALL that apply
Which interventions would be included in the plan of care fo…
Which interventions would be included in the plan of care for a client after eye surgery? Select ALL that apply
The nurse is assigned four clients on the clinical unit. Wh…
The nurse is assigned four clients on the clinical unit. Which client should the nurse see first?
The nurse is caring for a client with multiple sclerosis. Th…
The nurse is caring for a client with multiple sclerosis. The client has a stage II pressure ulcer on the sacrum. Which intervention will the nurse delegate to the unlicensed assistive personnel (UAP)?
The nurse is observing a client with cerebral edema for evid…
The nurse is observing a client with cerebral edema for evidence of increasing intracranial pressure (IICP). Monitoring the blood pressure for a widening pulse pressure. The current blood pressure is 170/80 mmHg. What is the client’s pulse pressure? (Answer in whole number) _______
In relationship to activities of daily living, what should t…
In relationship to activities of daily living, what should the nurse include in the teaching plan for the client with multiple sclerosis?
A nurse is caring for a 20-year-old male client who has a fe…
A nurse is caring for a 20-year-old male client who has a fever and reports severe headache.Vital Signs at 0800Temperature 38.9° C (102° F); TympanicApical pulse 118/min; strong and regularRespirations 20/min; even and unlabored Blood pressure 114/78 mm Hg Oxygen saturation 97% on room airNurses Notes0800:Client reports missing classes at a local community college the last two days due to fever and headache. Rates pain with headache as a 9 on a scale of 0 to 10. Verbalizes that headache was not relieved by acetaminophen or ibuprofen taken at home. Client awake, alert, and oriented to person, place, and time. Pupils equal, round, and reactive to light. Temperature elevated. Skin warm and dry, face flushed. Petechiae noted on trunk. Reports nausea and vomiting frequent for the last 24 hr. Bowel sounds positive x 4 quadrants. Abdomen soft and nontender to light palpation. Photophobia present. Nuchal rigidity noted. Brudzinski’s sign positive. Respirations easy and unlabored. Lungs clear to auscultation. The nurse should address the client’s ___________ followed by the client’s ____________.