The nurse is caring for a client after a closed renal biopsy. Which of the following nursing measures should be included in the plan of care
A. Maintaining the client on strict bed rest in a supine position for 6 hours.
B. Administering intravenous narcotic medications to promote comfort.
C. Inserting an indwelling catheter to monitor urine output.
D. Applying a sandbag to the biopsy site to prevent bleedin
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Mr. Smith is admitted to the psychiatric hospital for evaluation after numerous incidents of threatening, angry outbursts and two episodes of hitting a coworker at the grocery store where he works. He is very anxious and tells the nurse, "I didn’t mean to hit him. He made me so mad that I just couldn’t help it. I hope I don’t hit anyone here. " Which of the following is the nurse’s best response
A. "It sounds like you were angry. When you feel angry here, talk to the staff about it instead of hitting. "
B. "I’m sure you didn’t mean to hit him and that it won’t happen here. "
C. "You’d better not hit anyone here, even if you do get mad. "
D. "Tell me more about what happened. "
Which of the following goals would be appropriate for the client with hepatitis B
A. The client will verbalize the importance of using sedatives to provide adequate rest.
B. The client will avoid social activities with friends after discharge from the hospital.
C. The client will adhere to measures to prevent the spread of infection to others.
D. The client will adhere to a low sodium, low protein diet.
The nurse is making a plan of care for the child with juvenile rheumatoid arthritis to reduce joint pain in the morning just after arising. Which of the following interventions would be included in the plan
Awakening the child once nightly to exercise the joints.
B. Having the child sleep in a sleeping bag.
C. Having the child sleep with the joints flexed.
D. Increasing pain medication at bedtim
An 20-month-old with acquired immunodeficiency syndrome (AIDS) is seen in the clinic for health maintenance. Which of the following vaccines would the nurse anticipate administering to this toddler
A. Diphtheria-tetanus-acellular pertussis.
B. Varicella.
C. Measles, mumps, and rubella.
D. Hemophilus influenz
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