The nurse is assessing the patient who has been diagnosed with delirium. The patient repeatedly cries out for her husband. The first intervention by the nurse would be to:

1. administer Haldol as ordered.
2. apply restraints so that the patient will not harm herself.
3. calmly tell the patient that she is in the hospital and her husband is not there.
4. call the husband and tell him that he needs to come stay with his wife.


3
Anyone dealing with a delirious patient should be calm, warm, and reassuring. Frequent orientation to the surroundings and situation is important as well.

Nursing

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It has been determined that a patient in the ICU has pleural effusion. Which intervention is needed at this point to distinguish between transudative and exudative pleural effusion?

A) Chest x-ray B) CT scan C) Ultrasound D) Assessment of pleural fluid

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The recommended digitalizing dose of digoxin elixir for children 2 to 5 years old is 30 to 40 mcg/kg. Half of the digitalizing dose is to be given immediately, and the remainder is to be divided into two doses, which are to be given at 8-hour intervals

The child weighs 48 lb. The first dose will fall in the range of _______________. a. 327 to 436 mcg b. 0.65 to 0.87 mg c. 218 to 290 mcg d. 3.17 to 4.22 mg

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A patient with glaucoma has been prescribed a diuretic as treatment of his or her disease process. What drug does the nurse suspect that the patient will be prescribed?

A) Acetazolamide (Diamox) B) Spironolactone (Aldactone) C) Chlorthalidone (Hygroton) D) Bendroflumethiazide (Naturetin)

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The mother of a 1-month-old infant tells the nurse she worries that her baby will get meningitis like the child's younger brother had when he was an infant. The nurse should base a response on which information?

a. Meningitis rarely occurs during infancy. b. Often a genetic predisposition to meningitis is found. c. Vaccination to prevent all types of meningitis is now available. d. Vaccinations to prevent pneumococcal and Haemophilus influenzae type B meningitis are available.

Nursing