The nurse has found the patient with delirium in other patients' rooms several times. The best action by the nurse would be to:
1. firmly tell the patient that he must stay out of other patients' rooms and tell him to return to his room.
2. take him back to his room and put him in bed with the side rails up.
3. take him to the nurses' station and let him "visit" for a while.
4. administer a dose of Ativan (lorazepam) as ordered.
3
Avoid using physical restraints, which tend to increase anxiety and agitation. Sitting at the nurses' station will allow the nurses to monitor his activity and frequently orient him to his surroundings.
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Patients with disabilities like multiple sclerosis (MS) often feel that their chronic conditions are harder to deal with than disabilities like physical deformities. Why would they feel this way?
A) Invisible disabilities create negative attitudes in the health care community. B) Invisible disabilities can be as disabling as visible disabilities. C) Disabilities like MS are apparent to the general population. D) Disabilities like MS steal your life in an instant.
A client with hypertension has experienced heart failure. The nurse notes that the client is receiving nifedipine (Procardia). Which is a priority assessment for the nurse?
1. Auscultate breath sounds for crackles. 2. Assess level of orientation. 3. Review recent lab results for hypokalemia. 4. Assess urinary output.
Which of the abnormal lab values could be indicative of cancer?
A patient with a history of poor nutrition and chronic illness is admitted to the medical unit. As a nurse is caring for this patient, the nurse recalls that normal body flora:
A. assist with the formation of antibodies. B. assist with the digestion and absorption of nutrients. C. participate in maintaining a person's health by inhibiting the multiplication of microorganisms. D. resist infection by releasing antibacterial substances and inhibiting multiplication of pathogenic microorganisms.