The nurse is providing medication instructions to a 45-year-old patient who does not maintain eye contact. What should this patient's behavior indicate to the nurse?
a. The patient is not interested.
b. The nurse threatens the patient's ego.
c. The nurse is in a hierarchical position.
d. The patient does not intend to follow the instructions.
____
C
C. Use and degree of eye contact is culturally influenced. Many cultures view health care workers as having higher status, making it rude to maintain eye contact. A. B. D. The nurse should not make assumptions about the patient's level of interest, intent to follow instructions, or ego.
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A patient is on continuous cardiac rhythm monitoring. The nurse notices that the low-rate alarm is sounding frequently. What nursing action takes the highest priority?
A) Assess monitor alarm limits for appropriate setting. B) Check contact with skin for all electrodes. C) Assess patient's level of consciousness and vital signs. D) Check connections between lead wires and electrodes.
The patient has had a stroke or brain attack, believed to be ischemic in nature. The causes of an ischemic stroke are least likely to include which of the following?
A) Thrombus of a cerebral artery B) Embolus of a cerebral artery C) Ruptured cerebral aneurysm D) Cerebrovascular obstruction
The nurse is teaching adolescent boys about their reproductive organs using a model of the system. One of the boys asks, "Where is sperm made?" What is the nurse's best response?
A) Seminiferous tubules B) Interstitial cells C) Leydig cells D) Vas deferens
An older patient is experiencing mouth pain rated 6 on a 10 point pain scale. What action should the nurse take first?
1. Medicate the patient with a prescribed mild analgesic. 2. Carefully inspect the patient's mouth, teeth, and tongue. 3. Notify the physician in charge about the patient's problem. 4. Instruct the patient to begin rinsing the mouth with an isotonic solution.