The nurse caring in the intensive care unit suspects that one of her patients is experiencing sensory overload. Which findings(s) has/have aroused her suspicion? Choose all that apply
1) Disorientation
2) Restlessness
3) Hallucinations
4) Depression
ANS: 1, 2
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Before involving the family in care of the dying patient, the nurse should:
a. ask the patient if he wants family care. b. ask family members if they want to assist with care. c. check the hospital policy on the family giving care. d. set a caring example.
The nurse is promoting a healthy diet to guide a mother when feeding her 2-week-old girl. Which of the following is the most effective anticipatory guidance?
A) Encouraging breastfeeding until the sixth month B) Advocating iron supplements with bottle-feeding C) Advising fluid intake per feeding of 5 or 6 ounces D) Discouraging the addition of fruit juice to the diet
The nurse is caring for a patient who has an elevated cholesterol level. To reduce the mean total blood cholesterol and LDL cholesterol levels, what would be important to teach this patient?
A) Eat high-protein, low-fat meals B) Eat low-fat, low-cholesterol meals C) Eat high-protein, low-carbohydrate meals D) Eat low-cholesterol, low-carbohydrate meals
A patient is receiving interferon alpha (Roferon-A) subcutaneously. The patient experiences chills, fatigue, and malaise, and the nurse assesses a temperature of 102° F
The nurse will notify the provider of the temperature and will anticipate which order? a. Administer acetaminophen (Tylenol). b. Change to intravenous interferon alpha. c. Give diphenhydramine (Benadryl). d. Obtain a serum BUN and creatinine level.