A patient experiencing delirium secondary to drug toxicity is manifesting paranoid thinking and noisy, assaultive behavior and is currently pacing the room. The nurse's initial intervention is to:
a. prepare to apply supervised restraints.
b. request an intravenous sedative.
c. calmly attempt to quiet the patient.
d. attempt to divert the patient's attention.
C
Restraints may be ordered to protect the delirious patient from self-injury or from injuring others. Initially an attempt should be made to calm the patient by addressing him in a quiet, controlled manner.
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When planning a community program on sexually transmitted infections, which concept should guide the nurse's teaching plan for syphilis?
A) Syphilis progresses through three stages without treatment. B) The incubation period for syphilis is two weeks. C) Spirochetes can penetrate the central nervous system causing damage. D) Syphilis is a self-limiting infection.
A new mother states that her infant must be cold because the baby's hands and feet are blue. The nurse explains that this is a common and temporary condition called
a. Acrocyanosis b. Erythema neonatorum c. Harlequin color d. Vernix caseosa
Your client speaks only Hungarian. How do you communicate with this client to assess him?
1. Speak loudly and slowly. 2. Ask family and friends to translate. 3. Use a trained medical interpreter. 4. Ask a Hungarian employee from the Facilities department to translate.
Foods that may help stimulate food intake in patients with taste abnormalities include those that are
a. tart. b. salty. c. sweet. d. bland.