The teaching plan for a patient beginning oxazepam (Serax) should include instructions to (select all that apply)
a. take the drug on an empty stomach.
b. avoid discontinuing the drug abruptly.
c. stop taking the drug if side effects occur.
d. drink only moderate amounts of alcohol.
e. avoid herbal preparations.
B, E
Patients must be informed that abrupt discontinuation of benzodiazepines produces withdrawal symptoms. Use of herbal preparations such as kava-kava and valerian can produce harmful additive effects. The other options contain information that is inappropriate to teach patients.
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A nurse assists with the insertion of a central vascular access device. Which actions should the nurse ensure are completed to prevent a catheter-related bloodstream infection? (Select all that apply.)
a. Include a review for the need of the device each day in the client's plan of care. b. Remind the provider to perform hand hygiene prior to starting the procedure. c. Cleanse the preferred site with alcohol and let it dry completely before insertion. d. Ask everyone in the room to wear a surgical mask during the procedure. e. Plan to complete a sterile dressing change on the device every day.
Before treatment of an addiction can actually begin, many persons must first go through the process of removing the substance from their bodies under medical supervision. This is known as
1. abstinence. 2. withdrawal. 3. detoxification. 4. intoxification.
A client being treated for a myocardial infarction has been transferred from the intensive care unit to
a step-down unit. She uses the call bell as often as every 15 minutes and makes a seemingly small request or complains each time the staff member enters the room. Several staff tell the primary nurse that the client is "obnoxious" and that they feel inadequate because they can never seem to satisfy her needs. The best indicator to monitor for the outcome of anxiety self-control is that the client will a. monitor duration of episodes of anxiety. b. maintain adequate sleep of 7 hours nightly. c. maintain social relationships and role performance. d. control anxiety response by using call bell appropriately.
Which of the following mood disorders is less severe than major depressive disorder but tends to be more chronic?
A) Mania B) Bipolar disorder C) Dysthymic disorder D) Cyclothymic disorder