Which of the following nursing orders should be included in the plan of care for a client with hepatitis C?

• A.The nurse should use universal precautions when obtaining blood samples.
• B.Total bed rest should be maintained until the client is asymptomatic.
• C.The client should be instructed to maintain a low semi-Fowler position when eating meals.
• D.The nurse should administer an alcohol backrub at bedtime.

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The nurse is caring for a 6-week-old girl with meningitis. To help her develop a sense of trust, the nurse should:

• A.Give her a small soft blanket to hold
• B.Give her good perineal care after each diaper change
• C.Leave the door open to her room
• D.Pick her up when she cries

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A client is placed in five-point restraints after exhibiting sudden violence after illegal drug use, and haloperidol (Haldol) 5 mg IM is administered. After 1 hour, his behavior is more subdued, but he tells the nurse, "The devil followed me into this room, I see him standing in the corner with a big knife. When you leave the room, he's going to cut out my heart." The nurse's best response is:

• A."I know you're feeling frightened right now, but I want you to know that I don't see anyone in the corner."
• B."You'll probably see strange things for a while until the PCP wears off."
• C."Try to sleep. When you wake up, the devil will be gone."
• D."You're probably feeling guilty because you used illegal drugs tonight."

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The 4th of July holiday comes while a client is in the hospital being treated for schizophrenia. She is taking chlorpromazine and has improved to the point of being allowed to go with a group to the park for a picnic. The side effect of chlorpromazine that the nurse needs to keep in mind during this outing is:

• A.Hypotension
• B.Photosensitivity
• C.Excessive appetite
• D.Dryness of the mouth

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Following her surgery, a 5-year-old child will return to the pediatric unit with a long-arm cast. She experienced a supracondylar fracture of the humerus near the elbow. Which nursing action is most essential during the first
24 hours after surgery and cast application?

• A.Mobilization of the child
• B.Discharge teaching
• C.Pain management
• D.Assessment of neurovascular status

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