The nurse is caring for an older patient who had a urinary catheter inserted after a TURP. The patient is intermittently confused, and picks at the IV tubing and catheter. What should the nurse try first?
A. Obtain an order to restrain the patient's hands and forearms
B. Sedate the patient until the IV tube and catheter can be removed
C. Inform the family that a family member will have to sit by the patient
D. Give the patient a familiar object to hold, such as a family picture
Answer: D. Give the patient a familiar object to hold, such as a family picture
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A client has been waiting for a donor heart for several months. When he receives the call that a heart has become available, the client states, "How long do I have to get to the hospital?" What is the best response by the transplant nurse?
A) "You can take your time. We have to get your heart so it could be 24 hours." B) "You must be at the hospital within the next 15 minutes, or your heart will go the next person on the list." C) "The heart has to be transplanted within 6 hours, so it is advisable that you go to the hospital to be prepared now." D) "We can put the heart on ice and wait for you for 2 days."
Order: methenamine mandelate 500 mg, PO, q.i.d. Available: How many tablet(s) should be given per dose?
What will be an ideal response?
The nurse is admitting to the unit a patient who has just had a minor operation and received a general anesthetic. The nurse notices that gentamicin (Garamycin) is infusing IV
Which of the following clinical findings associated with these drug-drug interactions would most alarm the nurse? a. Diluted urine b. Decreased sensation in the lower extremities c. Hyperreflexia d. Persistent headache
Standard precautions involve the use of
A. contact precautions during patient care. B. personal protective equipment.(PPE) C. using PPE only when the patient is known to be infectious. D. a high efficiency particulate air filter (HEPA) mask if you will inhale the patient's secretions.