____________________ is inappropriate verbal, vocal, or motor activity due to causes other than disorientation or real need.
Fill in the blank(s) with the appropriate word(s).
Agitation
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A nurse is caring for an elderly client who has been prescribed flurazepam by the physician. Which of the following effects of flurazepam is a potential safety hazard for clients taking the medication?
A) Daytime drowsiness B) Nausea and vomiting as a side effect C) Excessive sleep due to cumulative effect D) Risk of gastrointestinal upset
The nurse is caring for a client who is a victim of abuse. If the nurse touches this client, which of the following could occur?
a. The client may see touch as a threat and lash out. b. The client may become frightened. c. The client may misinterpret the intent of the touch. d. The client may think the touch is harmful.
You are caring for a patient who is in skeletal traction. What is most important to do frequently when caring for a patient in skeletal traction to maintain effective traction?
A) Check the traction apparatus to see that the ropes are in the wheel grooves of the pulleys. B) Make sure that the weights hang freely. C) Make sure that the knots in the rope are tied securely. D) Evaluate patient's position, because slipping down in bed results in ineffective traction.
A patient has the following arterial blood gas (ABG) results. In analyzing the data, the nurse recognizes the patient has what health problem?
1. metabolic acidosis 2. metabolic alkalosis 3. respiratory acidosis 4. respiratory alkalosis