You are a floor nurse caring for a patient with alcohol withdrawal syndrome. What would be an appropriate nursing action to minimize the potential for hallucinations?
A) Place the patient in a room with roommates.
B) Turn the lights to low illumination.
C) Close closet doors.
D) Leave the television on at all times.
Ans: C
Feedback: To reduce the potential for hallucinations, the nurse should close the closet and bathroom doors to minimize shadows. The patient should be placed in a quiet single room with lights on and in a calm nonstressful environment. The television should not be left on.
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Several older adult clients in the nurse's care report growing concerns about their dental health. They state they need to have dental work done despite continuing the same hygiene habits they have employed for years
They inquire about the underlying cause for these changes. What information should be given to these clients? 1. Dental health begins to decline with aging. 2. The loss of bone density with aging will result in tooth decay and breakage. 3. Increases in saliva production increase exposure of the tooth's enamel to corrosive agents. 4. Metabolism changes in aging contribute to dental destruction.
A nurse is providing education on blood pressure during a community function. Someone in the audience asks where the baroreceptors that monitor blood pressure are located. The nurse's correct response would be to identify what part of the body?
a. The brachial artery in the upper arm b. The adrenal glands at the kidneys c. The heart at the aortic arch d. The renal glomerulus
Which finding should the nurse be most concerned about for a client with hypothyroidism?
A. Dry skin B. Generalized weakness C. Muscle cramps D. Weight gain
Which statement is true regarding legislated minimum staffing ratios?
A) They are mandated by federal law B) They are required by 28 states C) They are proposed to improve patient care D) They are necessary to reduce costs