A client is experiencing delusions and appears to be frightened. Which of the following actions are appropriate nursing interventions? Standard Text: Select all that apply
1. Validate the client's feelings in response to altered perceptions.
2. Inform the client that their delusions and hallucinations are just bad dreams.
3. Assure the client that the nurse does not experience delusions or hallucinations.
4. Provide reality testing.
5. Keep the client physically safe.
1,4,5
Rationale: Validate the client's feelings in response to altered perceptions. It is appropriate to validate the client's feelings in response to altered perceptions.
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A patient with chronic sinus infections is scheduled for the Caldwell-Luc procedure. What should the nurse include when teaching the patient about this procedure?
Select all that apply. 1. Dentures should be inserted immediately after the surgery. 2. Avoid the Valsalva maneuver for 2 weeks after the surgery. 3. Packing will be present for 24 to 48 hours after the procedure. 4. A liquid diet will be permitted for the first day after the surgery. 5. The upper lip and teeth may be numb for several months after the surgery.