Which of the following interventions would be most helpful in preventing pressure ulcer formation in at-risk client
A. Massaging reddened areas on the sacrum.
B. Ensuring a generous fluid intake.
C. Repositioning every hour.
D. Providing a low protein diet.
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When preparing to give a neonate the first feeding by nipple, the nurse uses a 5 mL feeding of sterile water first. Which of the following is the reason for doing so
A. Ensure that the neonate has the energy to take oral feedings.
B. Ensure that the mother will be able to feed the neonate.
C. Ascertain the patency of the neonate’s esophagus.
Determine if the neonate can retain the feedin
Trimethobenzamide (Tigan) 150 mg IM has been ordered to treat a client’s nausea and vomiting. The nurse has an ampule of Tigan labeled 200 mg/mL. How many mL should the nurse prepare to give the client
A. 0.50 mL.
B. 0.75 mL.
C. 1.0 mL.
D. 1.5 mL.
A client receiving morphine for long-term pain management develops tolerance. When the client asks the nurse what it means, which of the following should the nurse response
A. "Tolerance is an allergic reaction to a medication. "
B. "Tolerance is an ability to take the same drug for extended periods of time. "
C. "Tolerance is an increased response to a medication. "
D. "Tolerance is a diminished response to a drug so that more is required to reach the same effect. "
To prevent external rotation of the client’s hips while he is lying on his back, it would be best for the nurse to place
A. firm pillows under the length of his legs.
B. sandbags alongside his legs from knees to ankles.
C. troehanter rolls alongside his legs from ilium to midthigh.
D. a footboard that supports his feet in the normal anatomic position.
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