A patient has been admitted to the hospital. He or she has been telling the neighbors that someone is "bugging" the telephone line and listening in to all of his or her calls and thought processes
The patient is convinced that someone is "out to kill me" and is refusing to remove his or her clothing and wear the hospital gown during admission. As the nurse doing this admission, you:
A) Let the patient remain in his or her own clothing
B) Get the orderly to remove the patient's clothing
C) Get additional staff to help you remove the patient's clothing
D) Ask the patient why he or she is being so uncooperative
A
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A nurse assesses a client who has a family history of polycystic kidney disease (PKD). For which clinical manifestations should the nurse assess? (Select all that apply.)
a. Nocturia b. Flank pain c. Increased abdominal girth d. Dysuria e. Hematuria f. Diarrhea
The nurse explains to the parents of a hospitalized child that their child will receive fentanyl for an upcoming procedure. What advantage of fentanyl will the nurse explain?
a. It is specifically designed for children. b. It has a rapid onset. c. It is nonaddicting. d. It has a long duration.
A client has preeclampsia. She is 36 weeks' pregnant, and comes to the high-risk screening center for a contraction stress test. The nurse should explain to the client that the contraction stress test is being done to determine:
1. What affect her hypertension has had on the fetus. 2. If the fetus will be able to tolerate labor. 3. If fetal movement increases with contractions. 4. What effect contractions will have on her blood pressure.
The physician has ordered several laboratory tests for the client as part of a nutritional assessment. Which of the following laboratory tests provide the most accurate information regarding current nutritional status?
1. Prealbumin 2. Albumin 3. Transferrin 4. Total lymphocyte count