When shaving a patient
a. never use a patient's own shaving equipment.
b. never use an electric razor.
c. use cold water to soften the patient's beard and skin.
d. use standard precautions.
d
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When responding to a patient who has agitated, hostile behavior during a community meeting, the initial action the nurse should take is to:
a. follow the treatment plan. b. place the patient in seclusion. c. offer an antianxiety medication. d. permit the angry outburst if no harmful behavior is threatened.
Following a craniotomy to relieve increased intracranial pressure (ICP), the nurse will implement which intervention?
a. Elevate the head of the bed 30 to 45 de-grees. b. Place drip pad or cotton to absorb cere-brospinal fluid drainage from the nose or ears. c. Keep the patient stimulated to better as-sess changing level of consciousness. d. Allow the patient to change positions fre-quently for comfort.
The nurse is instructing a patient with a myocardial infarction about the disease process. Which patient statement indicates that additional teaching is needed?
1. "A heart attack is the same as a myocardial infarction (MI)." 2. "A heart attack causes tissue death and that part of the heart may not pump as well." 3. "A heart attack in the anterior wall of the heart can be very serious because a large portion of the heart may not pump as well." 4. "Angina always leads first to decreased blood flow to the heart muscle and then to tissue death."
A nurse will soon begin crisis intervention with a young mother who has suddenly been abandoned by her partner of several years. What is the primary goal of crisis intervention?
A) To promote the client's understanding of ways that she may have contributed to the crisis B) To foster empathy and understanding that the client may provide to individuals with similar crises in the future C) To help the client gain insight into her coping and defense mechanisms D) To decrease the client's emotional stress and protect her from additional stress