An instructor explains that patients may need a nurse's assistance to help cope with the stress of hospitalization. The nurse validates understanding by
1. Using appropriate humor therapy.
2. Providing a back massage and other comfort measures to help the patient relax.
3. Explaining what the patient should expect before performing a procedure or treatment.
4. All of the above.
ANS: 4
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A patient takes temazepam [Restoril] for insomnia. The patient tells the nurse that a recent telephone bill lists several calls to friends that the patient does not remember making. What will the nurse do?
a. Ask the patient about any alcohol con-sumption in conjunction with the benzo-diazepine. b. Contact the prescriber to request an order for a benzodiazepine with a shorter dura-tion. c. Reassure the patient that this is most likely caused by a paradoxical reaction to the benzodiazepine. d. Tell the patient that this is an example of anterograde amnesia, which is an expected effect of the benzodiazepine.
While a woman is being treated for preterm labor with IV magnesium sulfate, it is essential that the nurse frequently assess the patient's:
a. appetite. b. skin turgor. c. capillary refill. d. respirations.
While documenting in a patient's chart, a nurse realizes that it is the wrong patient's chart. The nurse should
1. Write over the incorrect letters. 2. Use correction fluid to blank out the mistaken entry. 3. Use correction tape to blank out the mistaken entry. 4. Write "mistaken entry" and his or her initials just above incorrect entry.
A child with a poor nutritional status and weight loss is at risk for a negative nitrogen balance. To help diagnose this problem, the nurse anticipates that the physician will order which laboratory test?
a) Total iron-binding capacity b) Hemoglobin (Hb) c) Total protein d) Sweat test