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which is not a step in the nursing process
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- client prescribed digoxin (Lanoxin) for atrial fibrillation calls the clinic's triage nurse reporting stomach pain and feeling weak from nausea and diarrhea. The client also reports drowsiness and confusion from a persistent headache for the past two days. Which action should the nurse take first? Inquire if anyone else in the household is experiencing the same symptoms. Ask the client about recent fluid intake and frequency of voiding and diarrhea. Check to see if the client had received yearly influenza and pneumonia vaccinations. Instruct the client to come to the clinic or urgent care to be seen by a healthcare provider.
- A client newly diagnosed with diabetes mellitus is instructed by the health care provider to obtain glucagon for emergency home use. The client asks a home care nurse about the purpose of the medication. What is the nurse's best response to the client's question?
- What actions should the nurse take when applying a fentanyl transdermal patch to a client?Apply the patch to a flat surface on the upper torso. Reapply the new patch to the same site as the previous patch. Remove any fentanyl patches that are still attached to the skin. Apply to clean, moist skin and cover with a bandage. If it is the first patch, obtain a short-acting analgesic prescription.