The nurse is caring for a client with an acute bleeding cerebral aneurysm. Which of the following activities is not appropriate in nursing care()
A: Position the client to prevent airway obstruction.
B: Keep the client in one position to decrease bleeding.
C: Administer IV fluid as ordered and monitor the client for signs of fluid volume excess.
D: Maintain the client in a quiet environment.
A: Position the client to prevent airway obstruction.
B: Keep the client in one position to decrease bleeding.
C: Administer IV fluid as ordered and monitor the client for signs of fluid volume excess.
D: Maintain the client in a quiet environment.
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- The most important feeling for the nurse to convey to the client in order for the client with personality disorder to accept the nurse is one of() A: Let client feel warm and being care B: Willingness to help C: Remorse for client D: No-nonsense demands with client
- Which intervention will best help to prevent a client from falling() A: Monitor the client regularly or continually if his condition warrants it. B: Keep the bed at a level where the nurse can easily provide care. C: Make sure the side rails of the client’s bed are down. D: Restrain the client to prevent him from getting out of bed and falling.
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- The nurse is creating a plan of care for a client scheduled for surgery. The nurse should include which activity in the nursing care plan for the client on the day of surgery? A: 1. Avoid oral hygiene and rinsing with mouthwash. B: 2. Verify that the client has not eaten for the last 24 hours. C: 3. Have the client void immediately before going into surgery. D: 4. Report immediately any slight increase in blood pressure or pulse