The nurse is discharging a client with a healthcare facility acquired urinary tract infection. Which information should the nurse include in the discharge teaching?
Take all the antibiotics as prescribed.
The client being admitted from the emergency department is diagnosed with a fecal impaction (beyond constipated). Which nursing intervention should be implemented?
Administer an oil retention enema.
The client presents to the outpatient clinic complaining of diarrhea for two (2) days. Which laboratory data should the nurse monitor?
Potassium Levels
Which of the following are physical changes seen at the end-of-life?
Decreased urination*
Mottling of hands and feet*
Loss of gag reflex*
Increased blood pressure
Difficulty speaking*
As the nurse admits a patient in end-stage renal disease to the hospital, the patient tells the nurse, "If my heart or breathing stop, I do not want to be resuscitated." Which action should the nurse take first?
Ask if the decision has been discussed with the patient's health care provider.
The nurse cares for a terminally ill patient who has 20-second periods of apnea followed by periods of deep and rapid breathing. Which action by the nurse would be most appropriate?
Document the respirations as Cheyne-Stokes
Which of the following procedures is an anti-reflux surgery performed to treat GERD?
Nissen fundoplication
The daughter of a patient with early familial Alzheimer's disease (AD) asks how AD is different from forgetfulness. You describe early warning signs of AD, including
Having no memory of preparing a meal and forgetting to serve or eat it
D.B. is admitted to a long-term care facility. He has a nursing diagnosis of impaired memory related to effects of dementia. An appropriate nursing intervention for him is to
promote orientation at every encounter with the patient by asking the day, time, and place.
A patient with Alzheimer's disease (AD) who is being admitted to a long-term care facility has had several episodes of wandering away from home. Which action will the nurse include in the plan of care?
Place the patient in a room close to the nurses' station.
Which finding should the nurse expect when assessing a patient who has osteoarthritis (OA) of the knee?
Discomfort with joint movement
A patient is being discharged 4 days after hip arthroplasty using the posterior approach. Which patient action requires intervention by the nurse?
Leaning over to pull on shoes and socks
Which menu choice by a patient with osteoporosis indicates the nurse's teaching about appropriate diet has been effective?
Oatmeal with skim milk and fruit yogurt
One month after discharge, a client who had a left total hip replacement calls a clinic reporting acute constant pain in the left groin and hip area and feeling like the left leg is shorter than the right. A nurse advises the client to come to the clinic
Dislocation of the prosthesis
A 47-year-old female patient is transferred from the recovery room to a surgical unit after a transverse colostomy. The nurse observes the stoma to be deep pink with edema and a small amount of sanguineous drainage. The nurse should
document stoma assessment findings.