If a patient shows signs of delusions or hallucinations, you should
A. agree with the patient.
B. avoid reinforcing the patient's false beliefs.
C. keep the patient in her room to avoid violence.
D. avoid contact with the patient unless absolutely necessary.
Answer: B
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The nurse understands that certain clients are more susceptible to pressure ulcer development. Which of the following clients would be at an increased risk? Select all that apply
1. Clients who have restricted activity 2. Clients with decreased sensation 3. Clients with poor nutrition 4. Clients who are very thin 5. Clients who have urinary or fecal incontinence
The 10-year-old patient is receiving methylphenidate (Ritalin). The patient's mother tells the nurse he just won't sleep while on his medication. What is the best response by the nurse?
1. "You can give him a 25 mg diphenhydramine (Benadryl) tablet at bedtime." 2. "Do not give the medication after 4:00 p.m." 3. "Do not give the medication after 6:00 p.m." 4. "This is serious; you should ask the doctor about atomoxetine (Strattera)."
A pediatric nurse is providing a health promotional education program to a group of preschool parents. One parent asks the nurse the following question:
"I have started buying bottled water. How will this affect my children?" It is important for the nurse to educate the mothers that A) There is a need to determine if the bottled water has fluoride B) The preschool child should not drink bottled water C) The preschool child should only drink milk D) The parent should alternate bottle and tap water
Which of the following actions can decrease the risk for a postpartum infection? (Select all that apply.)
a. Diet high in protein and vitamin C b. Increased fluid intake c. Ambulating within a few hours after delivery d. Washing nipples with soap prior to each breastfeeding session