A nurse is caring for a client with delirium. What should the nurse assess for in this
client?
A) Complete loss of muscle control
B) Inability to eat or swallow
C) Inability to use objects properly
D) Altered level of consciousness
D
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The nurse is caring for a patient who had a colonoscopy earlier that day. The patient states that he still feels very bloated after the procedure. What is the best action of the nurse?
a. Assist the patient to ambulate in the hall. b. Insert a rectal tube to remove retained flatus. c. Administer an enema to stimulate peristalsis. d. Encourage oral intake of fluids and high-fiber foods.
A client with severe esophageal varices is scheduled for trans-jugular intrahepatic portal-systemic shunt (TIPS) insertion. The nurse determines that teaching has been effective when the client makes which statement?
a. "I will be discharged home after I wake up completely." b. "The procedure may be painful because I get only light sedation." c. "My liver will function normally within 8 hours of placement of the shunt." d. "I will be monitored closely for a while after the procedure is over."
The nurse is providing patient education to a group preparing to go to a region where malaria is endemic. Which education provided by the nurse about prophylactic administration of doxycycline (Vibramycin) is most appropriate?
"The medication should be (Select all that apply.) a. started 2 days prior to travel to the area." b. discontinued 3 weeks after leaving the area." c. used for acute attacks only." d. taken twice daily for 14 days." e. continued for 4 weeks upon return from the area."
When the nurse is discussing the patient's cyclical temperature fluctuation occurring on a daily basis, what term should the nurse use?
a. Thermogenesis cycle b. Thermoconductive phases c. Adaptive pattern d. Circadian rhythm