After working with a patient who has a history of violent behavior to identify possible clues that suggest that his behavior is escalating, the nurse and patient develop a plan for prevention. Which strategy would they be least likely to include?

A) Counting to 10
B) Taking slow deep breaths
C) Turning up the music loud
D) Taking a voluntary time out


C

Nursing

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The prenatal clinic nurse meets with a 30-year-old woman who is experiencing her first pregnancy. The patient's quadruple-marker screen result is positive at 17 weeks of gestation

Which action by the nurse is most important? A. Call the social worker for a consultation. B. Document the findings in the woman's chart. C. Facilitate a referral to a genetics counselor. D. Prepare the woman for intrauterine death.

Nursing

A patient in labor has been given a local anesthetic. A nurse is monitoring the patient and the fetus via a maternal-fetal monitor. Which clinical finding would the nurse anticipate in the fetus initially?

a. Tachycardia b. Bradycardia c. Fetal distress d. Uterine contractility

Nursing

Which patient would the nurse see first at the start of the shift?

a. A patient admitted yesterday with osteomyelitis of the right arm with a T of 101.0°F b. A patient with hepatic encephalopathy who is being rude to the nursing assistant c. A patient with lupus who has been on long-term corticosteroids and whose blood sugar is 180 d. A patient with circumferential burns of the right leg who is complaining of numbness in the right foot

Nursing

The nurses caring for a newly admitted patient need to discuss nursing care. Which location would maintain the confidentiality of this discussion?

1. The nurse's station. 2. The hallway outside the patient's room. 3. The staff cafeteria. 4. The room where nurses take report. 5. The staff elevator.

Nursing