Which of the following client behaviors would indicate a need for further intervention in the anxious patient on a benzodiazepine?
1. The client asking to be taken off the medication gradually
2. The client relying more on coping skills and taking less medication
3. The client inquiring about behavior methods for anxiety control
4. The client requesting a higher dose of drug to achieve the intended effect
4
Rationale: Requesting higher doses of a benzodiazepine can be a sign of tolerance and addiction. The other responses are actually signs of relying less on the medication and more on coping strategies and are positive signs.
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Prior to her elective hip replacement surgery, the nurse is explaining the basic characteristics of general anesthesia to the patient. The nurse should perform this education in the understanding that general anesthesia is best understood as
A) a nonreversible, temporary state of unresponsiveness. B) a state of reversible unconsciousness. C) stage N2 non–rapid eye movement sleep. D) stage N3 non–rapid eye movement sleep.
A nurse manager must place a telephone call to a colleague who always wants to chat socially for several minutes. The manager does not have time for a social call. What is the best time for the manager to make this call?
1. At 9:00 a.m. after physician rounds are complete 2. A few minutes before the colleague usually goes to lunch 3. In the middle of the afternoon 4. First thing in the morning, just after shift report
Which assessment would indicate possible gallbladder disease in an older adult?
a. Dull pain in the right upper quadrant region b. Changes in color of urine or stool c. Distention of veins in upper part of body d. Aching muscles and tenderness in the liver
Before applying a cord clamp, the nurse assesses the umbilical cord. The mother asks why the nurse is doing this. What should the nurse reply?
1. "I'm checking the blood vessels in the cord to see whether it has one artery and one vein." 2. "I'm checking the blood vessels in the cord to see whether it has two arteries and one vein." 3. "I'm checking the blood vessels in the cord to see whether it has two veins and one artery." 4. "I'm checking the blood vessels in the cord to see whether it has two arteries and two veins."