Physiological Aspects of Care

At the conclusion of visiting hours, the parent of a 14-year-old adolescent scheduled for orthopedic surgery the next day hands the nurse a bottle of capsules and says, "These are for my child's allergy. Will you be sure my child takes one about 9 PM tonight?" What is the nurse's best response?

"I will get a prescription so that the medicine can be taken."

A client is scheduled to receive conscious sedation during a colonoscopy. The client asks the nurse, "How will they 'knock me out' for this procedure?" Which answer by the nurse correctly describes the route of administration for conscious sedation?

"You will receive medication through an intravenous catheter."

A client with end-stage renal disease is hospitalized. For what signs and symptoms of complications should the nurse monitor the client? (Select all that apply.)

Anemia Dyspnea Anasarca

A client who is to have brain surgery has a signed advance directive in the medical record. In what situation should this document be used?

Answer: Client cannot consent to his or her own surgery Rationale: Advance directives allow clients to designate another person to consent to procedures if they are unable to do so. Advance directives are not related to insurance. No information suggests the client cannot consent to treatment. Directions for distribution of belongings should be stipulated in a will, not in an advance directive.

A client who is to have brain surgery has a signed advance directive in the medical record. In what situation should this document be used?

Client cannot consent to his or her own surgery

A nurse is reviewing a plan of care for a client who was admitted with dehydration as a result of prolonged watery diarrhea. Which prescription should the nurse question?

Parenteral albumin (Albuminar)

A client with Addison's disease is receiving cortisone therapy. The nurse expects what clinical indicators if the client abruptly stops the medication? (Select all that apply.)

Tachypnea Hypotension

What physiological changes that occur with aging must be taken into consideration when the nurse provides care for the older adult? (Select all that apply.)

Urinary urgency Loss of skin elasticity Swallowing difficulties Elevated blood pressure

What response should a nurse be particularly alert for when assessing a client for side effects of long-term cortisone therapy?

behavioral changes

A nurse assesses for hypocalcemia in a postoperative client. One of the initial signs that might be present is:

answer: paresthesias Rationale: Normally, calcium ions block the movement of sodium into cells. When calcium is low, this allows sodium to move freely into cells, creating increased excitability of the nervous system. Initial symptoms are paresthesias. This can lead to tetany if untreated. Headache, pallor, and blurred vision are not signs of hypocalcemia