A patient is confused. What would you anticipate would be a part of the patient's care plan?
a. Give the date and time when the person asks for it.
b. Stand from behind the person.
c. State your name and show your name tag.
d. Provide stimulation by rearranging the person's furniture and belongings.
C
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A patient with asthma is receiving a bronchodilator medication. If this therapy is helpful to the patient, the nurse would expect to find which of the following?
A) Increased productiveness of cough B) More intense wheezing C) Persistent tachycardia D) Reduced peak expiratory flow rate
An elderly patient has developed Clostridium difficile-related diarrhea, a problem that has led to dehydration and hypokalemia
The increased peristalsis that characterizes diarrhea has the potential to cause fluid volume deficit and electrolyte deficits because: A) Increased peristalsis diverts energy away from the absorptive activities of the small intestine. B) Increased peristalsis creates increased metabolic demand, which in turn depletes fluid and electrolyte reserves. C) An increase in peristalsis means that the colon cannot absorb the substances that it normally absorbs. D) An increase in peristalsis reduces the normal surface area of the villi and microvilli in the colon.
A patient is admitted for evaluation of hypotension. Which assessment by the nurse would require immediate attention?
1. Pulmonary artery wedge pressure of 2 mmHg 2. Heart rate of 112 3. Urine output of 25 mL/hr 4. Presence of rales at both lung bases
In terms of fine motor development, what should the 3-year-old child be expected to do?
a. Tie shoelaces. b. Copy (draw) a circle. c. Use scissors or a pencil very well. d. Draw a person with seven to nine parts.