A client experiencing an acute dystonic reaction

A client experiencing an acute dystonic reaction presents with a laryngeal spasm. Which treatment should the nurse prepare? A Intravenous administration of benztropine B Intravenous administration of isotonic crystalloid fluid. C Oral administration of lorazepam. D Oral administration of divalproex 2 The nurse leading a care team on a medical surgical unit is assigning client care to a practical nurse (PN) and an unlicensed assistive personnel (UAP). Which activity should the nurse delegate to the UAP? A Monitor an intravenous infusion rate on an established schedule B Anchor an inserted unnary catheter in place with tape C Begin wound care for a client after an appendectomy D Prepare the sterile field for a urinary catheter insertion 4 The nurse observes a client prepare a meal in the kitchen of a rehabilitation facility prior to discharge. Which behaviors indicate the client understands how to maintain balance safely? (Select all that apply.) A Bends from the waist to pick trash off the floor B Leans forward to pull a ban from a high shelf C Brings a heavy can close to body before lifting D Locks knees while preparing food on the counler E Widens stance while working near the sink 5 A client with foul-smelling drainage from an incision on the upper left arm is admitted with a suspected methicillin-resistant Staphylococcus aureus (MRSA). Which nursing interventions should the nurse include in the plan of care? (Select all that apply.) A Send wound drainage for culture and sensitivity B Use standard precautions and wear a mask. C Monitor the client’s white blood cell count D Institute contact precautions for staff and visitors E Explain the purpose of a low bacteria diet 6 A client with a permanent pacemaker has no pulse or spontaneous respirations and the monitor is displaying a ventricular fibrillation rhythm. Resuscitation is in progress and the nurse is preparing to defibrillate the client with 200 joules of unsynchronized defibrillation. Which intervention is most important for the nurse to implement? A Ensure permanent pacemaker interrogated if return of spontaneous circulation is achieved B Place self-adhesive defibrillator pads at least 1 inch away from permanent pacemaker site C Apply a doughnut magnet over the pacemaker if pacer-mediated tachycardia develops. D Obtain 12-lead electrocardiogram to evaluate return of pacemaker’s sensing, firing, and capture. SCIENCE HEALTH SCIENCE NURSING NURSING 211

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