Mr. P begins calling out loudly in his room. He sees spiders and he has the sensation that the walls are closing in on him
The nurse practitioner orders an antipsychotic injection stat for Mr. P. Further data collection shows he has not been eating his meals and one of his buddies has been bringing alcohol to Mr. P in the evening. You suspect a severe drug interaction. Your communication to Mr. P includes: (SELECT ALL ANSWERS THAT APPLY)
A) "Mr. P, it is dangerous to drink alcohol while taking these medications."
B) "Mr. P, who brought you the alcohol? That friend may not visit again."
C) "Mr. P, if you do that again, you will be transferred to the locked unit."
D) "Mr. P, for your safety and that of others in the unit, I will need to let the doctor know about this incident."
E) "Mr. P, if you had been eating your meals, you would not have had such a reaction to the alcohol."
F) "Mr. P, from now on, you may not have visitors unless a nurse is also present."
A, D
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To compensate for renal alkalosis, the body begins to
A) blow off carbon dioxide via the respiratory system. B) conserve hydrogen ions. C) conserve bicarbonate ions. D) excrete hydrogen ions.
A patient has had a nasogastric tube in place for 6 days due to the development of paralytic ileus after surgery. In light of the prolonged presence of the nasogastric tube, the nurse should prioritize assessments related to what complication?
A) Sinus infections B) Esophageal strictures C) Pharyngitis D) Laryngitis
A nurse is admitting a patient with an immunodeficiency to the medical unit. In planning the care of this patient, the nurse should assess for what common sign of immunodeficiency?
A) Chronic diarrhea B) Hyperglycemia C) Rhinorrhea D) Contact dermatitis
Where is the nurse's description of the teaching provided to the client on performance of self-medication administration recorded?
a. Kardex form b. Incident report c. Nursing history form d. Discharge summary form