In teaching the patient how to take his own blood pressure, the nurse instructs the patient to avoid which of the following 30 minutes before taking blood pressure (BP)? (Select all that apply.)
a. Exercise
b. Caffeine
c. Smoking
d. Resting
A, B, C
Encourage the patient to avoid exercise, caffeine, and smoking for 30 minutes before assessment to avoid an inaccurate reading. These factors cause elevations in BP and pulse.
Have the patient rest at least 5 minutes before measurement to reduce anxiety that can falsely elevate readings.
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A nursing student has complimented an elderly female client on her elaborate diamond ring. The client replies, "That was a gift from my late husband. He was a wonderful man
"The client then pauses and the nursing student notices a tear in her eye. Which of the following actions best demonstrates empathy? A) Tell the client, "I'll give you some privacy" and quietly leave the room. B) Ask the client, "Are you feeling sad because your husband died recently?" C) Stay silent for a moment and allow the client to gather her thoughts. D) Ask the client if she would like to have a visit from the chaplain or a counselor.
Which is most suggestive that a nurse has a nontherapeutic relationship with a patient and family?
a. Staff is concerned about the nurse's actions with the patient and family. b. Staff assignments allow the nurse to care for same patient and family over an extended time. c. Nurse is able to withdraw emotionally when emotional overload occurs but still remains committed. d. Nurse uses teaching skills to instruct patient and family rather than doing everything for them.
Paint thinners, gasoline, and cleaning fluid are typically associated with which route of administration?
A. smoking B. vaporous inhalation C. absorption through the skin D. oral
The patient receives methyldopa (Aldomet), an adrenergic drug. The nurse determines that the patient is having side effects when the patient makes which statement?
1. "Will you check my pupils? I can't see very well at all." 2. "I am so thirsty; will you please bring me another pitcher of water?" 3. "I am so anxious; I really need to walk around the room." 4. "I feel so sleepy that I don't think I can eat my dinner."