"Promethazine (Phenergan) 25 mg IM 3 h."
"Morphine sulfate 10 mg IM q3 4h."
"Docusate sodium (Colace) 50 mg PO bid."
"Ranitidine (Zantac) 50 mg IVPB q12h."
A woman in the first trimester of pregnancy complains of heartburn.
A man complains of heartburn that radiates to the jaw.
A woman complains of hot flashes and difficulty sleeping.
A boy complains of knee pain after playing basketball.
Head of bed elevated 30–45°.
Head of bed elevated 60–90°.
Side-lying with head elevated 15°.
Lying flat with head turned to the left side.
Temperature 101°F (38.3°C), BP 96/60, pulse 96 and thready.
Cool skin, respiratory crackles, pulse 86 and bounding.
Complaints of a headache, abdominal pain, and lethargy.
Urinary output 700 ml/24 h, CVP of 5, and nystagmus.
"Most women find that they feel better when they are pregnant."
"How long have you been in remission?"
"Women with lupus frequently have slightly longer gestations."
"It is best to become pregnant within the first 6 months of diagnosis."
Confirm that all staff members understand and comply with the treatment plan.
Establish mutually agreed-upon, realistic goals.
Ensure that the potent reinforcers (rewards) are important to the client.
Establish a fixed interval schedule for reinforcement.
Kussmaul respirations and diaphoresis.
Anorexia and lethargy.
Diaphoresis and trembling.
Headache and polyuria.
Talk with the client about how the client is feeling.
Instruct the nursing assistant to sit with the client while the client eats.
Contacts the physician to obtain an order for an antacid.
Evaluate the most recent vital signs recorded in the chart.
Contains a lower overall dosage of medication than is given before general surgery.
Contains lower amounts of sedatives and hypnotics than are given before general surgery.
Contains lower amounts of narcotics than are given before general surgery.
Contains medications similar in type and dosages to those given before general surgery.
Place a trochanter roll on the outer aspect of the thigh.
Perform resistive range of motion of the left leg.
Adduct and internally rotate the left leg.
Instruct the patient to maintain the left leg in a neutral position.
Notify the physician.
Contact the father to obtain consent.
Continue the child's preoperative preparation.
Reassess in 5 minutes.
Check the client's visual acuity.
Lower the head of the client's bed.
Contact the physician.
The child places his head close to the table when drawing.
The child rubs his eyes frequently.
The child closes one eye to see a poster on the wall.
The child is unable to see objects in the periphery of his visual field.
Allow the client to sleep undisturbed.
Administer oxygen via face mask or nasal prongs.
Administer naloxone (Narcan).
Place epinephrine 1:1,000 at the bedside.
"The poison control center number is stored on all the phones in our house."
"I should induce vomiting if my child swallows lighter fluid."
"If I carry medication in my purse, it should be in a child-proof container."
"Proper storage is the key to poison prevention in the home."
Take the client to the dining room with 1:1 supervision.
Inform the client that he may go to the dining room when he controls his behavior.
Hold the meal until the client is able to come out of seclusion.
Serve the meal to the client in the seclusion room.
Counseling regarding problems of body image.
Maintain airborne precautions.
Maintain aseptic technique during procedures.
Encourage peers to visit on a regular basis.
Reduce the client's diet to 1,500 calorie ADA.
Order three additional units of NPH insulin at 10 P.M.
Order an additional 10 units of regular insulin at 8 P.M.
Eliminate the client's bedtime snack.
The client has slight edema of the eyelids.
There is clear fluid draining from the client's right ear.
There is some bleeding from the child's lacerations.
The client withdraws in response to painful stimuli.
The nurse's opinion regarding the mental and emotional status of the client.
Data addressing the client's emotional state.
Data addressing a biopsychosocial approach, including a family system assessment.
Specific data detailing the client's mental status.
Obtain respirations and temperature.
Dilute with 9 ml of NS.
Draw the medications in separate syringes.
Verify the route of administration.
"That must have been a real shock to you."
"You should be tested for hepatitis B."
"You'll receive the hepatitis B immune globulin (HBIG)."
"Have you had unprotected sex with your boyfriend?"
Encourage the patient to establish trust with one staff person with whom therapeutic interventions should occur.
Give the patient unsolicited attention when the patient is exhibiting acceptable behaviors.
Ignore the patient when the patient exhibits attention-seeking behavior.
Rotate the staff so that the patient will learn to relate to more than one nurse.
Irrigate the nasogastric tube with distilled water.
Aspirate the gastric contents with a syringe.
Administer an antiemetic medicine.
Insert a new nasogastric tube.
"I have been helping my family deal with their feelings about the surgery."
"I have been having difficulty coping with the surgery and cry frequently."
"I have been unable to leave the house or talk to my friends about the surgery."
"I am doing just great since the surgery and have gone back to work at my job."