Assessment A Latest Update
A nurse is updating the client's plan of care. For each of the following potential nursing interventions,
click to specify if the potential intervention is anticipated, nonessential, or contraindicated for the client.
- Answer--When addressing the client, approach them from the front when possible is anticipated.
Use a vest restraint to keep the client in a medical recliner is contraindicated.
Ensure the bed is kept at a working height for the nurse is contraindicated.
Provide the client with high-calorie protein drinks hourly is nonessential.
Give directions to the client slowly and in a moderate tone of voice is anticipated.
Decrease sensory stimulation is anticipated.
Keep the lights off in the client's bedroom and bathroom at night is contraindicated.
Assign the client to a room near the nurses' station is anticipated.
A nurse is monitoring a client who began taking sertraline 3 days ago. Which of the following findings
should the nurse report to the provider as potential adverse effects of this new medication? - Answer--
Increased Temperature
Decreases Sodium
Diaphoresis
Insomnia
Headache
Elevated B/P
A nurse is caring for a client in an outpatient psychiatric clinic who has been applying a selegiline 12 mg
transdermal patch once daily.
Complete the sentence by using the lists of options.