The nurse caring for the resident who is disoriented can provide the best care with which intervention?
a. Ensuring activities are scheduled for the same time each day
b. Changing care assignments for assistive personnel frequently to prevent burnout
c. Encouraging autonomy by allowing the resident to choose clothes from the closet
d. Administering sedatives to calm the pa-tient
A
Keeping a routine leads to less confusion. Changing assistive personnel care assignments fre-quently is confusing for the resident. Choosing clothing from an entire closet is overwhelming for the confused resident; rather, giving the resident a few items to choose from encourages au-tonomy without increasing confusion. Sedatives should not be given to treat confusion.
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A primigravida of 28 years is admitted to the antepartum unit with a diagnosis of hyperemesis gravidarum. Nursing care is based on the knowledge that:
a. this condition is caused by psychogenic factors. b. she should be assessed for signs of dehydration and starvation. c. the treatment is similar to that for "morning sickness." d. she should be isolated from her family.
A nurse is caring for a patient who has a diagnosis of GI bleed
During shift assessment, the nurse finds the patient to betachycardic and hypotensive, and the patient has an episode of hematemesis while the nurse is in the room. In addition to monitoring the patient's vital signs and level of conscious, what would be a priority nursing action for this patient? A) Place the patient in a prone position. B) Provide the patient with ice water to slow any GI bleeding. C) Prepare for the insertion of an NG tube. D) Notify the physician.
The critical appraisal question that would most accurately evaluate the research question and hypothesis of a research report is what?
a. Is there a synthesis summary that presents the overall strengths and weaknesses and arrives at a logical conclusion that generates hypotheses or research questions? b. What are the sources of bias, and are they dealt with appropriately? c. How have the purpose, aims, or goals of the study been substantiated? d. To what population may the findings be generalized? What are the limitations in generalizability?
What is the primary difference between acute illness and chronic illness?
a. In acute illness, symptoms begin suddenly, progress quickly, and subside quickly. b. In acute illness, symptoms begin suddenly, progress gradually, and do not subside. c. In chronic illness, symptoms begin gradually, progress suddenly, and subside quickly. d. In chronic illness, symptoms begin suddenly, require ongoing management, and subside quickly.