The nurse is working in the outpatient clinic when a patient who has been waiting to be seen for an hour yells, "What are you people doing? I'm sick and tired of waiting!" Which of the follow-ing is the most therapeutic response, if made by the
nurse? a. "The doctor can only do so much."
b. "Would you like a magazine?"
c. "I can see that you are frustrated."
d. "You need to be quiet!"
C
Acknowledging the patient's frustration indicates that the nurse is listening and that the message has been received. Option a is defensive and minimizes the patient's issue. Option b is a change of subject and is likely to further irritate the patient. Option d is a total disregard for the patient's frustration.
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When a client does not show up for a scheduled clinic appointment, which of these factors must the nurse consider as a potential reason?
a. communication misunderstanding b. client indifference c. client laziness d. cultural differences in the meaning of time
A patient has been using sleeping pills every night for the past several months. Now admitted to the hospital, he is prescribed his usual dose of sleeping pill. After administration, the patient continues to be restless and is wide awake. The nurse
notifies the health care provider, who prescribes an increased dose. After receiving the new dose, the patient falls asleep. The nurse interprets this as which of the following? A) Drug idiosyncrasy B) Cumulative drug effect C) Drug tolerance D) Toxic reactions
A patient is prescribed atorvastatin to lower cholesterol levels. If the daily dosage is 30 mg and the duration of medication is 30 days, what is the total dosage?
A. 450 mg B. 90 mg C. 45 mg D. 900 mg
A patient comes to the clinic and reports breaking out in an urticarial rash 1 hour after taking acetaminophen for osteoarthritis symptoms. The primary care NP should:
a. order a complete blood count with differential. b. order liver and renal function tests. c. suspect Reye's syndrome and arrange for hospitalization. d. tell the patient not to take products containing acetaminophen again.