The nurse giving you a report on a newly admitted profoundly deaf patient says that the patient is confused and difficult to assess because she does not respond to questions appro-priately or sometimes does not respond at all
The oncoming nurse will consider: 1. having a psychiatrist see the patient to determine if the patient has dementia.
2. assessing the patient to determine if her hearing aids are in.
3. reporting to the physician that the patient is "sundowning."
4. assessing medications to check for an overdose.
2
Profoundly deaf persons can be mistakenly assessed as being confused or disoriented when not wearing their hearing aids.
PTS: 1 DIF: Cognitive Level: Evaluation REF: 1193-1194
OBJ: 5 TOP: Hearing Aids
KEY: Nursing Process Step: Planning
MSC: NCLEX: Safe, Effective Care Environment
You might also like to view...
The nurse is working with a client who has been diagnosed with bipolar disorder. The nurse has suggested that the client volunteer in community activities with others who have a psychiatric diagnosis. How does this activity reinforce learning?
1. It teaches the client about their own diagnosis. 2. It allows the client to make social connections. 3. It allows the client to offer something to the community. 4. It allows the client to help another cope with problems similar to their own.
5 pt = _____ gal
a. 5/8 b. 1 1/4 c. 2 1/2 d. 10
Ordered: dalteparin sodium 4000 units subcut daily. Available: How many milliliters should the nurse prepare?
a. Estimated dose (more or less than drug concentration volume on hand): b. DA equation: c. Evaluation:Indicate the nearest measurable dose on the syringe.
The nurse is conducting a class for nursing assistants. One of the students asks the nurse why blood pressure, pulse, and temperature are called "vital signs". Which of the following explanations would the nurse offer the student?
a. "They are called vital signs because the blood pressure is very important." b. "Because significant deviation from normal is not compatible with life." c. "The term has just evolved over time without a clear definition for why." d. "They are called vital signs because they are the first things the nurse does when admitting a patient to the hospital."