1. The family wish to see the body before it is taken to the funeral home. Which
interventions should the nurse take to prepare the body before the family enters the
room? (Select all that apply)
a- Take out dentures
...
1. The family wish to see the body before it is taken to the funeral home. Which
interventions should the nurse take to prepare the body before the family enters the
room? (Select all that apply)
a- Take out dentures and place in a labeled cup
b- Apply a body shroud
c- Place a small pillow under the head
d- Remove resuscitation equipment from the room
e- Gently close the eyes
A client with major depression who is taking fluoxetine calls the psychiatric clinic
reporting being more agitated, irritable, and anxious than usual. Which intervention
should the nurse implement?
a- Tell the client to have a complete blood count (CBC) drawn
b- Instruct the client to seek medical attention immediately
c- Encourage him to take the medication at night with a snack
d- Explain that these are common side effects of the medication
A client with diabetic peripheral neuropathy has been taking pregabalin for 4 days.
Which finding indicates to the nurse that the medication is effective?
a- Granulating tissue in foot ulcer
b- Full volume of pedal pulse
c- Reduced level of pain
d- Improved visual activity.
The nurse is assessing a client with Addison's disease who is weak, dizzy, disoriented,
and has dry oral mucous membranes, poor skin turgor, and sunken eyes. Vital signs are
blood pressure 94/44, heart rate 123 beats/minute, respiration 22 breaths/minute.
Which intervention should the nurse implement first?
c- Measure and record the cardiac QRS complex
a- Assess extremity strength and resistance
b- Report a sodium level of 132 mEq/L or mmol/L (SI units)
d- Check current finger stick glucose
A 41-week gestation primigravida woman is admitted to labor and delivery for induction
of labor. What finding should the nurse report to the healthcare provider before initiating
the infusion of oxytocin?
a- Fetal heart tones located in upper right quadrant
b- Biophysical profile results showing oligohydramnios
c- Regular contractions occurring every 10 minutes
d- d- Sterile vaginal exam reveling 3 cm dilatation
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