An older adult patient is admitted with a diagnosis of delirium secondary to a urinary tract infection. The family asks whether or not the patient will recover. Select the nurse's best response
a. "The healthcare provider is the best person to answer your question."
b. "The confusion will probably get better as we treat the infection."
c. "Unfortunately, delirium is a progressively disabling disorder."
d. "I will be glad to contact the chaplain to talk with you."
B
Usually, as the underlying cause of the delirium is treated, the symptoms of delirium clear. The distracters mislead the family.
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An older client with diabetes is admitted with a heavily draining leg wound. The client's white blood cell count is 38,000/mm3 but the client is afebrile. What action does the nurse take first?
a. Administer acetaminophen (Tylenol). b. Educate the client on amputation. c. Place the client on contact isolation. d. Refer the client to the wound care nurse.
The parents of a young child with heart failure (HF) tell the nurse that they are nervous about giving digoxin. The nurse's response should be based on which knowledge?
a. It is a safe, frequently used drug. b. Parents lack the expertise necessary to administer digoxin. c. It is difficult to either overmedicate or undermedicate with digoxin. d. Parents need to learn specific, important guidelines for administration of digoxin.
On examining a woman who gave birth 5 hours ago, the nurse finds that the woman has completely saturated a perineal pad within 15 minutes. Which action by the nurse should be implemented first?
A) Begin an IV infusion of Ringer's lactate solution. B) Assess the woman's vital signs. C) Call the woman's health care provider. D) Assess the woman's fundus.
A patient tells you about her experience with prolonged therapy for her breast cancer. You comment, “That must have been a very trying time for you.” What is this an example of?
A) Reassurance B) Empathy C) Summarization D) Validation