A client brought to the emergency department at the university hospital after PCP ingestion tries to run up and down the hallway. The nursing intervention that would be most therapeutic is
A. taking him to the gym on the psychiatric unit.
B. obtaining an order for seclusion and close observation.
C. assigning a psychiatric technician to "talk him down."
D. administering naltrexone as needed per hospital protocol.
Answer: B. obtaining an order for seclusion and close observation.
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A patient is having an operation in the morning. During the nurse's shift, the patient asks several questions that lead the nurse to determine that the patient does not understand the procedure. The best action by the nurse is to
a. call the surgeon to come back and explain the procedure. b. pass this information on to the day shift in shift report. c. reassure the patient that he or she understood the operation correctly earlier. d. try to explain the operation so that the patient understands.
The nurse is providing care for a patient whose cancer has metastasized to her small intestine. What does the small intestine do? Select all that apply
A) Creation of human waste products B) Reabsorption of water to maintain blood pressure C) Secretion D) Absorption E) Movement of nutrients into the blood stream.
The nurse is teaching the family of an infant with cerebral palsy how to administer a diazepam (Valium) pill by gastrostomy tube. What should the nurse include in the teaching session?
a. The pill should be crushed and mixed with a small amount of water. b. The pill should be crushed and mixed with the infant's formula. c. After administering the medication, flush the tube with air. d. Before administering the medication, check the placement of the tube.
A patient tells the nurse that he gets off cocaine for a while and then in a few months finds himself "hanging out in the same places" where he knows he can easily get drugs. How should the nurse respond?
1. "This will happen for the rest of your life. There isn't anything you can do to change it." 2. "This is drug-seeking behavior and is a response to a craving. What can you do instead of going to the places where you can get drugs?" 3. "This is because you are an addict and need the drugs." 4. "Have you considered using a less addictive type of drug instead of the kind you used to use?"