The pt is an adolescent who is quadriplegic as a result of diving accident. The nursing assistant reports that the pt started yelling and spitting at her while she was trying to bathe him. He is angry and hostile, stating "nobody is going to do anything else to me! I'm trying to get out of this place!" what is the best priority pt problem?
a. noncompliance
b. cognitive limitations
c. inability to cope with the situation
d. feelings of hopelessness
Answer: c. inability to cope with the situation
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In attempting to teach a patient how to clean around the surgical sutures on his abdomen upon discharge to home, the nurse determines that applying the principle of the learner's self-concept would be most effective with this patient
Which of the following is the best example of an application of that principle in this situation? A) Relating to the patient a story about another patient who failed to properly clean his sutures and the outcome B) Explaining that failure to properly clean around the suture site could result in serious infection C) Commenting that learning to properly clean his suture site could give the man skills that would better prepare him for a career in health care D) Mentioning to the patient that, if he would prefer, he can watch a video on the hospital's website on how to clean around a suture site
A patient is being treated for respiratory infection. He is a recovering alcoholic and has impaired liver function. The nurse will instruct the patient to be especially cautious when taking
A) an elixir. B) a tablet. C) a syrup. D) a troche.
A client has returned to the unit following surgery. The nurse knows that which intervention will provide the most pain relief for the client?
1. Offer pain relief before the client complains of pain 2. Wait until the client can describe the pain specifically 3. Assess the pain level every four hours around the clock 4. Allow the client to "sleep off" the anesthesia, and then offer pain medication
A patient is experiencing acute respiratory distress after eating an item of a known food allergy
What interventions will the nurse implement when providing emergency care to this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Administer epinephrine 1:1000 intramuscularly. 2. Apply oxygen via face mask as prescribed. 3. Provide diphenhydramine 25 mg intravenous. 4. Administer vasopressin. 5. Prepare to administer antithrombolytic agents as prescribed.