97%(339)329 out of 339 people found this document helpful
This preview shows page 29 - 31 out of 34 pages.
154. A nurse is administering an analgesic to a client who has a chest tube . The provider is preparing to discontinue the chest tube before the medication has taken effect. Which of the following actions should the nurse take first ? a.Inform the provider of the time of the last does of pain medication b.Document the sequence of events as they occur c.Provide non pharmacological pain management interventions d.Instruct the client about the steps of the procedure 155. A nurse in a PACU is transferring care of a client to a nurse on the medical surgical unit. Which of the following statements should the nurse include in the hand off report ?
157. A nurse is assessing a clients PAWP. The nurse should recognize that an elevated PAWP indicates which of the following complication?158. A charge nurse on a medical surgical unit is assisting with the emergency responses plan following an external disaster in the community. In anticipation of multiple client admissions, which of the following current client should the nurse recommend for early discharge ? 159. A nurse is caring for four client who are scheduled for surgery the same day. Which of the following laboratory values indicates the need for intervention before surgery ? a.Fasting blood glucose 108 mg/ dl b.WBC 9,800 mm3 > 4,800 is normal c.Creatnine 0.9 mg/dl , < 1.0 is normal d.Potaissium 5.2 meq / L 3.5 - 5.0 = 160. A nurse is providing teaching to family members of a client who has dementia. Which of the following instructions should the nurse include in the teaching ?