Working on a high-acuity medical-surgical unit

Working on a high-acuity medical-surgical unit

Q14) The nurse working on a high-acuity medical-surgical unit is prioritizing care for four clients who were just admitted. Which client should the nurse assess FIRST?

(a) The NPO client with a blood glucose level of 80 mg/Dl who just received 20 units of insulin lispro – correct answer

(b) The client with a pulse of 62 beats/min, about to receive digoxin

(c) The client with a blood pressure of 136/92 mm Hg. Who complains of having a headache

(d) The client with an allergy to penicillin who is receiving an infusion of vancomycin

Q19) What should the nurse include in a client’s discharge teaching when going home with a prescription for digoxin-0.125 mg by mouth once daily? Check the answer again.

(a) Take the digoxin at bedtime

(b) You must be able to check your pulse

(c) Don’t take digoxin if your heart rate exceeds 90 beats per minute

(d) Eat a diet high in bran fiber and calcium