The patient has asked the nurse to assist him to ambulate to the bathroom. The nurse is aware that the patient is currently taking an antidepressant medication, so she should:
1. never leave the patient alone in his room.
2. ask the patient if he could use the bedside commode instead of going to the bath-room.
3. make suicidal precautions a part of the care plan.
4. ask the patient to sit on the side of the bed for a minute or two before standing, and then stand slowly.
4
Psychotropic drugs, such as antidepressants, commonly cause orthostatic hypotension. The patient should sit on the side of the bed and then stand slowly to prevent falling.
11. In reviewing a patient's medication administration record, the nurse is aware that some medications are considered to be chemical restraints. Of the following medications, the nurse recognizes the chemical restraint to be:
1. Coumadin (warfarin).
2. Mellaril (thioridazine).
3. Isordil (isosorbide).
4. Motrin (ibuprofen).
2
Mellaril (thioridazine) is a psychotropic drug used as a chemical restraint.
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A 48-year-old man has presented to the outpatient radiology department for a scheduled transrectal ultrasound (TRUS). The nurse in this department should be aware that this patient has likely had:
A) Elevated prostate-specific antigen (PSA) B) Evidence of erectile dysfunction (ED) C) Urinary retention D) A history of infertility
Critical thinking involves
a. repeating memorized facts c. acting immediately on data b. finding meaning in facts d. engaging in "group-think"
A nurse is attempting to address a concern using the problem-solving model—an integral part of the therapeutic relationship. Which steps should the nurse recognize that are part of this model?
A) Identifying and defining the problem B) Identifying alternative solutions to the problem C) Weighing advantages and disadvantages of each alternative D) Trying all alternatives before deciding on the final one
In the nursing mutual participation model of care (NMPMC), the nurse believes that:
a. caregivers can and will be helpful at times if the nurse provides adequate teaching and training b. caregivers can participate in the simple day-to-day care of the child c. with enough supervision, caregivers can be good partners with nurses in caring for ill children and can help allay the children's fears d. the presence and support of families is essential for optimal healing, recovery, and prevention of additional trauma to a child