The patient with a hiatal hernia chronically experiences heartburn. Which action should the nurse teach the patient to avoid because it is contraindicated with a hiatal hernia?
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The nurse collects a capillary blood glucose (CBG) = 479 for…
The nurse collects a capillary blood glucose (CBG) = 479 for a client requiring insulin coverage. Use the following formula to calculate the amount of insulin (units) to be administered. If necessary, round to the nearest whole number. (CBG – 100) ÷ 30 = # units to be administered ____________ units
A 78-year-old male is recovering on an orthopedic care unit…
A 78-year-old male is recovering on an orthopedic care unit after an open reduction internal fixation (ORIF) of the right hip 2 days ago. The client has a history of right hip fracture, hyperthyroidism, and bilateral cataracts. He is retired, unmarried, and lives alone. His daughter lives 4 hours from the hospital. She has not visited but calls daily for updates. At 7:00 a.m. (0720), the night nurse provides hand-off report to the oncoming nurse at the bedside. The client participates in this report, denies pain, and shares that he is ready to move to a rehabilitation facility. Thirty minutes later, the nurse returns to complete a shift assessment and notices the client is lethargic, his speech is slurred and he is drooling from the left side of his mouth. The nurse documents the following assessment findings. Temperature 98.8° F (37.1° C) HR 110 beats/min, irregular rhythm BP 155/99 mm Hg RR 22 breaths/min O2 saturation 97% on room air Oriented to person only Dysarthria PERRLA Left side hemiplegia and ptosis Capillary blood glucose 88 mg/dL (4.89 mmol/L) What is the most likely explanation for the client’s current condition?
Use the label below to answer the question that follows. Th…
Use the label below to answer the question that follows. The health care provider orders dyphylline elixir (Lufyllin) 275 mg P.O. Q12H The nurse retrieves the following medication from the drug distribution system provided by the pharmacy. LUFYLLIN LAB.png How many milliliters will the nurse administer in one dose? Express the final answer to the nearest tenth. [BLANK-1]
The patient with rheumatoid arthritis should maintain a week…
The patient with rheumatoid arthritis should maintain a weekly regime of range of motion exercises and rest joints that are experiencing flare-ups.
A nurse is providing discharge teaching to a patient with ac…
A nurse is providing discharge teaching to a patient with active tuberculosis and who has been started on a medication regimen consisting of INH, rifampin, ethambutol, and pyrazinamide. Which statement shows the patient understands the discharge teaching?
A new patient has just arrived to the room via wheelchair. T…
A new patient has just arrived to the room via wheelchair. The patient request to walk to the bathroom prior to getting in bed. What can the nurse assess just by observing the patient go to the bathroom?
A nurse walks into the patient room and observes assistive p…
A nurse walks into the patient room and observes assistive personal reprimanding the patient for not using the urinal correctly. The nurse then threatens the patient by stating, “You do this again, I’ll put you in a diaper.” Which tort is the nurse committing?
A nurse is developing nursing diagnoses for a patient. Begin…
A nurse is developing nursing diagnoses for a patient. Beginning with the first step, place in order the steps the nurse will use.1. Observes the patient having dyspnea (shortness of breath) and a diagnosis of asthma2. Writes a diagnostic label of impaired gas exchange3. Organizes data into meaningful clusters4. Interprets information 5. Writes an etiology
A nurse is teaching a patient with newly diagnosed hypertens…
A nurse is teaching a patient with newly diagnosed hypertension about lifestyle modifications. Which of the following should the nurse include as the most effective intervention in controlling blood pressure?