A patient with Parkinson's disease informs the nurse that the stiffness and slowness of move-ments associated with the illness have become worse. What does the nurse teach the patient about this change?
a. "These changes are normal and expected as your disease progresses."
b. "You will need to use a walker at all times to avoid falls and accidents."
c. "Whenever your symptoms worsen, contact your prescriber right away."
d. "If your prescriber increases your drug dosage these functions will improve."
C
Patients should be taught to immediately notify their prescriber if symptoms of Parkinson's dis-ease (e.g., shaking, stiffness, or slowness of movement) become worse.
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A stable patient with atrial flutter is symptomatic from the arrhythmia. The physician administers amiodarone IV in an attempt to:
A) Convert the arrhythmia to a sinus rhythm B) Slow the ventricular rate C) Block the conduction of the AV node D) Slow the conduction through the AV node
An important component of the informatics infrastructure is:
a. establishment and adoption of standards to support semantic interoperability. b. defined standard value sets, groupings, aligners, and attributes. c. organizations enabled to set individual standards for quality measurement and reporting. d. variation in the types of data used to populate the quality metrics.
The AACN has provided a directive regarding best practice for verification of feeding tube placement. Which of the following is an expected practice for tube placement?
A) Radiographic confirmation of correct tube placement on all critically ill patients who are to receive feedings or medications via blindly inserted gastric or small bowel tubes following initial use. B) The tube's entrance site to the nose or mouth should be marked and the length documented immediately after radiographic confirmation of correct tube placement. C) The mark on the tube's entrance site to the nose or mouth should be observed routinely to assess for a change in length of the external portion of the tube. D) Bedside techniques, including measuring the pH and observing the appearance of fluid withdrawn from the tube, should be used to assess tube location at regular intervals.
Which is a correctly written, appropriate outcome for a client with a history of suicide attempts who is currently exhibiting symptoms of low self-esteem by isolating self?
A. The client will not physically harm self. B. The client will express three positive self-attributes by day 4. C. The client will reveal a suicide plan. D. The client will establish a trusting relationship.