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Transcranial Magnetic Stimulation (TMS) is a non-invasive procedure that uses magnetic fields to stimulate nerve cells in the brain. When instructing a client about TMS, a nurse should include that the treatment requires daily sessions for 4 to 6 weeks, as this is the standard duration for a course of TMS treatment. It is unnecessary to administer anesthesia or muscle-relaxing medication, and the patient does not necessarily need to lie flat in bed during the procedure. However, they will need to remain still and relaxed. Therefore, option d is the correct statement to include when instructing a client about TMS.

One drop left eye daily.

When prescribing eye drop medication, it is important to include specific instructions for the patient to ensure they use the medication correctly. In this case, option d is the correctly written prescription for an

eye drop medication as it specifies the eye for which the medication is intended (left eye) and the frequency of administration (daily).

Option a is incorrect as "od" means "right eye", and "tid" means three times a day. Therefore, it would translate to "One drop in the right eye three times a day", which is not what is intended.

Option b is incorrect as "ou" means both eyes, and "daily" is not a specific frequency. Therefore, it would translate to "One drop in both eyes every day", which is not specific enough.

Option c is incorrect as "bid" means twice a day, and "right ear" is not the correct location for an eye drop medication. Therefore, it would translate to "One drop in the right ear twice a day", which is not what is intended.

Skin cancer can occur in any part of the body, but it is more common in areas that are frequently exposed to the sun. For people with dark skin, skin cancer tends to occur in areas that are not commonly exposed to the sun, such as the palms, soles, and nails. However, it is still important for dark-skinned clients to inspect their head, neck, and trunk regularly for any changes in their skin, as these areas can also develop melanoma. It is recommended that clients check their skin regularly for any unusual moles, growths, or spots, and to seek medical attention if any changes are noticed.

Based on the information provided, it is difficult to determine the best antibiotic for the client without knowing the specific type of penicillin that caused the anaphylactic reaction. However, if the client has a documented allergy to penicillin, it is generally recommended to avoid other antibiotics in the penicillin class, including cephalosporins like cephalexin and cefaclor, which have a similar chemical structure.

Piperacillin/tazobactam and levofloxacin are not in the same class as penicillin and may be considered as options for the client. However, it is important to consult with the client's healthcare provider and/or an allergist to determine the best course of action for their specific situation.

“Since I am taking Clozaril, I will need to have bloodwork performed weekly for six months.”

This response indicates that the client understands the importance of having regular bloodwork done while taking Clozaril, as the medication can affect the white blood cell count. This shows that the RN's instruction regarding the medication has been effective in educating the client about the potential risks and monitoring requirements associated with taking the medication. Option b is incorrect as decreased urination is not a normal side effect of Clozaril. Option c is incorrect as using the medication "as needed" is not an appropriate dosing regimen for antipsychotic medications like Clozaril. Option d is incorrect as Clozaril is a prescription medication and is not available over the counter, nor does it have a generic form.

This response shows empathy and concern for the client's well-being and encourages them to seek professional help. It also avoids dismissing or denying the client's feelings, which can make them feel invalidated and unheard. Additionally, it's important to follow up with appropriate resources and referrals to ensure the client gets the help they need.

When using SBAR communication, it's important to provide the situation and background information before stating the assessment and recommendation. In this case, stating the client's current condition and the specific issue at hand (hypoxemia despite being on a rebreather mask) provides a clear and concise picture of the situation to the healthcare provider, allowing them to quickly make informed decisions.

Option A is too vague and doesn't provide any specific information about the client's condition. Option C provides assessment data but doesn't specify the current issue or reason for the call. Option D provides background information but doesn't address the current situation or reason for the call.

Hand hygiene is considered the first line of defense in medical asepsis as it is essential to prevent the transmission of infections. Standard precautions, isolation or barrier procedures, and routine cleaning of client rooms are also important components of infection control, but hand hygiene is the most basic and critical measure for preventing the spread of infection.

The first observation the nurse should perform is to assess the client's breathing. After anesthesia and surgery, the client may experience respiratory depression or airway obstruction, which can be life- threatening. Therefore, the nurse should ensure that the client's airway is patent and that they are breathing adequately before assessing other parameters such as wound dressing, level of consciousness, and catheter drainage.