What action should the nurse implement to provide analgesic titration for a client in pain?

What action should the nurse implement to provide analgesic titration for a client in pain? Teach the client to increase the time range between doses of pain medication.

When evaluating a client’s plan of care the nurse determines?

When evaluating a client’s plan of care, a nurse determines that a desired outcome was not achieved. Ch action should the nurse implement first? 1-collaborate w/ the healthcare provider to make changes.

What action is most important for the nurse to implement when placing a client in the Sims position?

What action is most important for the nurse to implement when placing a client in the Sim’s position? Raise the bed to a waist-high working level.

Which intervention is most important for the nurse to implement for a male client who is experiencing urinary retention?

Which intervention is most important for the nurse to implement for a male client who is experiencing urinary retention? Assess for bladder distention.

Which client information should the nurse obtain that is indicative of the presence of cholelithiasis?

Encourage compliance with drug therapy to prevent loss of vision. Which client information should the nurse obtain that is indicative of the presence of cholelithiasis? Upper right abdominal pain that occurs after meals and radiates to the back or right shoulder.

Which common side effect should the nurse alert a female client about when medroxyprogesterone is prescribed?

Approximately 3 to 7 days after the last cyclic dose of medroxyprogesterone, a female client may experience withdrawal vaginal bleeding. Which common side effect should the nurse alert a female client about when medroxyprogesterone (Depo-Provera) is prescribed? Leg or calf pain.

What is the most effective way to implement a teaching plan?

What is the most effective way to implement a teaching plan? Teach the information that the client wants to learn first.

Which intervention is most important for the nurse to implement?

A client with acute hemorrhagic anemia is to receive four units of packed RBCs as rapidly as possible. Which intervention is most important for the nurse to implement? Ensure the accuracy of the blood type match.

Which action should the nurse implement when administering a prescription drug that should be given on an empty stomach?

Which action should the nurse implement when administering a prescription drug that should be given on an empty stomach? Give one hour before or two hours after a meal. Average transit time from stomach to duodenum is 2 hours. The nurse is caring for a client who is unable to void.

What actions should a nurse implement when a client refuses a treatment?

Recognize the client’s right to refuse treatment/procedures. Discuss treatment options/decisions with client. Provide education to clients and staff about client rights and responsibilities. Evaluate client/staff understanding of client rights.

Which action by the nurse demonstrates culturally sensitive care?

Physical contact, such as touching the head, in some cultures is a sign of respect, whereas in others, it is strictly forbidden. So asking permission before touching a client (A) demonstrates culturally sensitive care.

What assessment finding should the nurse identify that indicates a client with an acute asthma?

What assessment finding should the nurse identify that indicates a client with an acute asthma exacerbation is beginning to improve after treatment? In an acute asthma attack, air flow may be so significantly restricted that wheezing is diminished.

What action is most important for the nurse to implement when donning sterile gloves?

which action is most important for the nurse to implement when donning sterile gloves? keep gloved hands above the elbows. Gloved hands held below waist level are considered unsterile.

Which snack food is best for the nurse to provide a client with myasthenia gravis who is at risk for altered nutritional status?

*The client with myasthenia gravis is at high risk for altered nutrition because of fatigue and muscle weakness resulting in dysphagia. Snacks that are semisolid, such as pudding are easy to swallow, require minimal chewing effort, and provide calories and protein.

What is the most important reason for starting intravenous infusions in the upper extremities?

What is the most important reason for starting intravenous infusions in the upper extremities rather than the lower extremities of adults? A decreased flow rate could result in the formation of a thrombosis.