A nurse includes in the discharge plan for a patient with Addison disease, "Risk for injury." What should measures to deal with this include?
a. Arranging for uncluttered floor space
b. Rising slowly from a lying position
c. Keeping the room well lit
d. Providing instructions in the use of a walker
B
Hypovolemia lowers the blood pressure and may cause orthostatic hypotension.
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Which of the following describes a responsibility of the forensic psychiatric nurse?
a. Assisting with the deposition b. Collecting evidence to be used in future legal proceedings c. Judging intent or diminished capacity of the client during the incident d. Preparing to testify in court
The nurse is performing an assessment on a newly admitted patient. What questions will the nurse ask to assess the patient's biological domain? Select all that apply
1. "How old are you?" 2. "Are you experiencing any pain today?" 3. "Can you tell me what year it is?" 4. "Are you having any thoughts of suicide?" 5. "Do you have a history of cardiac disease?"
If an intoxicated client admitted for trauma treatment last night at 2 AM is going to have withdrawal
symptoms, nurses should be alert for the symptoms to begin a. between 8 and 10 AM today (6 to 8 hours after drinking stopped). b. about 2 AM tomorrow (24 hours after drinking stopped). c. about 2 AM of hospital day 2 (48 hours after drinking stopped). d. about 2 AM of hospital day 3 (72 hours after drinking stopped).
A patient diagnosed with profound noise-induced hearing loss (NIHL) states, "I am going to wear ear protection at work from now on. How long before my hearing gets better?" How should the nurse respond?
1. "If you rest your ears from noise, you should be back to normal in a week or so.". 2. "As soon as the inflammation in your ear canal clears, your hearing will be much better.". 3. "Often the nerve damage in your type of hearing loss is permanent, and hearing does not improve.". 4. "It is too late to use ear protection now.".