What instruction should the nurse include in the discharge teaching plan of a client
who had a cataract extraction today?
- Light housekeeping is permitted but avoid heavy lifting
A male adult comes to the urgent care clinic 5 days after being diagnose with
influenza. He is short of breath, febrile, and coughing green colored sputum.
Which intervention should the nurse implement first?
- Obtain a sputum sample for culture
An elder male client tells the nurse that he is loosing sleep because he has to get up
several times at night to go to the bathroom that he has trouble starting his urinary
stream and that he does not feel like his bladder is ever completely empty. Which
intervention should the nurse implement?
- palpate the bladder above the symphysis pubis
An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract
infection (UTI) Prescriptions for intravenous antibiotics and insulin infusion are
initiated. Which serum laboratory value warrants the most immediate intervention
by the nurse?
- potassium of 2.5 meq/l
A client with sickle cell anemia develops a fever during the last hour of
administration of a unit of packed red blood cell. When notifying the healthcare
provider what information should the nurse provide first using the SBAR
communication process?
- explain specific reason for urgent notification
An adult male client is admitted for pneumocystis carinil pneumonia (PCP)
secondary to aids. While hospitalize he receives IV pentamidine isethionate
therapy. In preparing this client for discharge what important aspect regarding his
medication therapy should the nurse explain?
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