A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has been soaking in hot baths at night with no relief of his discomfort. Which action should the nurse take?
- ANSWER>>Encourage the pt to use cooler water and apply calamine lotion after soaking.
A new nurse preparing to irrigate an IV catheter is attaching a 24 gauge needle. Which action should the charge nurse implement?
- ANSWER>>Suggest the nurse use 20g needle
A nurse receives a report on a pt who is four hours post-total abdominal hysterectomy. The previous nurse reports that it was necessary to change the client's perineal pad hourly and that it is again saturated. The previous nurse also reports that the client's urinary output has decreased. Which action should the nurse implement first?
- ANSWER>>Assess for weakness or dizziness
A nurse who is working in the emergency department triage area is presented with four clients at the same time. The client presenting with which symptoms require the most immediate intervention by the nurse?
- ANSWER>>Chest discomfort one hour after consuming a large spicy meal.
A nurse working on an Endocrine Unit should see which client first?
- ANSWER>>A pt taking corticosteroids who has become disoriented in the last two hours.
A patient who recently received a prescription for ramelteon to treat sleep deprivation reports experiencing several side effects since taking the med. Which side effect should the nurse report to the healthcare provider?
- ANSWER>>Somnambulism
A pediatric client is taking the beta-adrenergic blocking agent propranolol. In developing a teaching plan, the nurse should teach the parents to report which sign of overdose?
- ANSWER>>Bradycardia
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