An elderly patient is being cared for in the CCU after a surgical procedure. The nurse finds snoring, frequent awakening, nocturnal sweating, and awakening with anxiety
The family states that the patient had these behaviors at home before the surgery. What is the most appropriate nursing action?
A) Continue routine assessment, as these behaviors indicate normal aging changes.
B) Make a referral for sleep disorder evaluation, as these behaviors are abnormal.
C) Tell the family to discuss these behaviors with the physician after discharge from the CCU.
D) Increase bedtime sedation to ensure that the patient gets adequate rest.
B
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A 29-year-old patient is to receive cardioversion for his dysrhythmia. The nurse will instruct the patient to expect:
1. administration of a short-acting sedative. 2. his digoxin dose to be taken as scheduled. 3. the procedure to be completely safe. 4. pacemaker spikes to be monitored carefully.
A 34-year old patient with chronic hepatitis C infection has several medications prescribed. Which medication requires further discussion with the health care provider before administration?
a. Ribavirin (Rebetol, Copegus) 600 mg PO bid
b. Pegylated ?-interferon (PEG-Intron, Pegasys) SQ daily
c. Diphenhydramine (Benadryl) 25 mg PO every 4 hours PRN itching
d. Dimenhydrinate (Dramamine) 50 mg PO every 6 hours PRN nausea
During discharge planning for a drug-dependent newborn, the nurse explains to the mother how to:
1. Place the newborn in a prone position. 2. Limit feedings to three a day to decrease diarrhea. 3. Place the infant supine and operate a home apnea-monitoring system. 4. Wean the newborn off the pacifier.
A middle-age female model is admitted for a double mastectomy. On admission the nurse notes that she is depressed and withdrawn
The most appropriate patient-centered nursing intervention(s) might include counseling the patient about which of the following? Select all that apply. A. Thinking positively instead of negatively B. Remaining a positive force in her plan of care C. Speaking with a support group to explore common coping mechanisms D. Remaining independent to return to prehospitalization activities