A confused patient frequently calls out for "help" throughout the shift. When nursing staff respond to the call, the patient is unable to explain what is needed. What action should be taken by the nurse?
1. Continue to respond and attempt to reorient the patient.
2. Restrain the patient in soft wrist restraints.
3. Move the call bell out of the patient's reach.
4. Chemically restrain the patient with a mild sedative.
1
Rationale: Since there is no indication that this patient is in danger of getting out of bed or otherwise getting injured, the correct answer is to keep attempting reorientation.
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An 80-year-old man has been diagnosed with early-stage Alzheimer's disease and has begun treatment with donepezil (Aricept). When providing health education to the patient and his wife, the nurse should identify what goal of treatment?
A) Remission of Alzheimer's disease B) Cure of Alzheimer's disease C) Improvement of cognition and function D) Resolution of memory and cognitive deficits
A nurse who leads group therapy for a group of depressed patients plans to implement a plan of exercise for each patient. The rationale to use when presenting this plan to the treatment team is that exercise:
a. has an antidepressant effect comparable to selective serotonin reuptake inhibitors. b. prevents damage from overstimulation of the sympathetic nervous system. c. improves circulation and oxygenation to the brain and other organs. d. detoxifies the body by ridding it of metabolic wastes and other toxins.
A patient is being treated for ovarian carcinoma with carboplatin, an alkylating agent. Which are actions of this medication? (Select all that apply.)
a. It interferes with normal cell division. b. Malignant cells convert to normal cells. c. Its effects occur in both normal and malignant cells. d. Cell division is totally controlled with this medication. e. It attaches to DNA.
A patient with newly diagnosed cancer states, "I can't stand to think about chemo." What is the most therapeutic response?
a. "What about chemo concerns you?" b. "Chemo is so much better than it used to be." c. "Wow! I can sure understand that!" d. "Have you had chemo before?"