The nurse notices that the client’s pupils are fixed and dilated. What does this finding indicate
A. The client is permanently paralyzed.
B. The client is going to be blind as a result of an injury.
C. The client probably has meningitis.
D. The client has received a significant brain injury.
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What activity orders would be appropriate for a client with an internal radium implant for cervical cancer
A. Out of bed as tolerated within the room.
Bed rest with bathroom privileges.
C. Bed rest in position of comfort.
D. Bed rest with the head of the bed flat.
The nurse is preparing to care for a client diagnosed with catatonic schizophreni
A. a. In anticipation of this client’s arrival, what should the nurse doA. Notify security.B. Prepare a magnesium sulfate drip.C. Place a specialty mattress overlay on the bed.D. Communicate the client’s nothing-by-mouth status to the dietary department.
A client with intrauterine growth retardation is admitted to the labor and delivery unit and started on an IV infusion of oxytocin (Pitocin). Which of the following is LEAST likely to be included in her plan of care
A. Monitoring vital signs, including assessment of fetal well-being, every 15 to 30 minutes.
B. Allowing the client to ambulate as tolerated.
C. Helping the client use breathing exercises to manage her contractions.
D. Carefully titrating the oxytocin based on her pattern of labor.
The nurse is preparing the client with heart failure to go home. Which of the following should be most important to include in the discharge education
A. Monitor urine output daily.
B. Monitor daily potassium intake.
C. Maintain bed rest for at least 1 week.
D. Weigh daily.
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