A male patient, one day postoperative from a total hip replacement, tells the nurse that he does not want to ambulate and will consider it tomorrow. What should the nurse do first to assist this patient?
1. Determine the reason he is resistant to ambulating at this time.
2. Contact the physician.
3. Call additional personnel to assist with ambulation anyway.
4. Document the patient's refusal.
1
Rationale 1: Determining the reason the patient is declining to participate is beneficial in the patient's care.
Rationale 2: It is premature to contact the physician.
Rationale 3: Forcing the patient to get out of bed would constitute a crime.
Rationale 4: Documentation of the exchange is needed, but it should be done once the reason for the refusal is known.
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The nurse should emphasize the fact that successful prevention of pregnancy depends primarily on the patient's A) current health status. B) vigilant adherence to the drug regimen. C) knowledge of sexual health. D) risk factors for adverse effects.
A client who is 38 weeks pregnant reports increased urinary frequency. Based on this data, which response by the nurse is indicated?
1. "Your reports are consistent with a urinary tract infection." 2. "I will need to check your blood sugar as excessive urination is associated with gestational diabetes." 3. "Reducing your fluid intake will be helpful to manage this problem." 4. "This is normal occurrence in the later stages of pregnancy."
In comparison to other methods for diagnosing illness, the DSM-IV-TR has provided a:
a. complex language for mental health care b. multitude of diagnostic criteria yet to be tested c. standard for clinical diagnoses d. substitute for clinical judgment
A patient was seen in the emergency department following an auto accident. He is being discharged on a muscle relaxant and anti-inflammatory medications. Which of the following is the most important discharge instruction the nurse should give this patient?
A. take medications on time B. keep medications in dark bottles C. get plenty of rest and sleep D. avoid driving and using machinery