A mentally competent patient with a terminal illness refuses to take his medications, stating, "I don't want to live like this." The nurse will
1. Ask the physician to change the patient's medications so they can be given intravenously.
2. Speak to the patient's family about his refusal of medications so they can discuss it with him.
3. Report the patient's decision to the physician and continue to provide appropriate compassionate care.
4. Explain to the patient the unwise nature of his decision and the effect that it will have on his family.
ANS: 3
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The client has just been diagnosed as diabetic. The nurse knows teaching was effective when the client makes which statement?
1. "Ketones in my urine mean that my body is using the glucose appropriately." 2. "I should be urinating frequently and in large amounts to get rid of the extra sugar." 3. "My pancreas is making enough insulin, but my body isn't using it correctly." 4. "I might be hungry frequently because the sugar isn't getting into the tissues the way it should."
Which of the following statements most accurately describes the practice of medicine in Greece from 800 BC to 300 BC?
A) Greek culture stressed natural causes for disease, a patient-centered approach, and the necessity of accurate observations and record keeping. B) Greek culture borrowed medical practices from the countries it conquered, and physicians were often slaves. C) Major and minor surgery, children's diseases, and diseases of the nervous and urinary systems were described in Greek culture. D) Medicine men (known first as shamans and later as priests) were responsible for curing ills of body and mind.
A 50-year-old resident of a group home has been taking typical antipsychotics for the treatment of schizophrenia. The nurse should be most aware of what hazard associated with these drugs?
A) Accidental overdosage as a result of the narrow therapeutic range B) Extrapyramidal symptoms and tardive dyskinesia C) Serotonin syndrome D) Auditory and visual hallucinations
Local anesthetics work by
1. enhancing the influx of calcium into the cell. 2. occupying potassium receptors. 3. increasing nerve impulse transmission. 4. blocking sodium channels.