The nurse is providing care for a newly admitted patient. The patient has many questions about the admission diagnosis and medication. What should be the highest priority nursing action for this patient?
A. Determine the patient's coping skills for dealing with his diagnosis.
B. Reassure the patient that nurses will monitor for adverse effects to medication.
C. Evaluate the patient's overall knowledge related to the diagnosis and medication.
D. Document that the patient displays a risk for medication noncompliance due to knowledge deficit.
Answer: C. Evaluate the patient's overall knowledge related to the diagnosis and medication.
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Which complication of adolescent pregnancy should the nurse plan to monitor?
a. Anemia b. Placenta previa c. Abruptio placenta d. Incompetent cervix
After the anesthesiologist inserts the anesthetic agent into the patient's spinal column, the nurse assists the patient into a supine position with the neck flexed. What is the rationale for the nurse's action?
1. This position allows for better monitoring of the patient's blood pressure and pulse. 2. Positioning can help the anesthetic agent reach the appropriate level in the spinal column. 3. This position helps to ensure the patient's cardiac function will not be affected by the anesthesia. 4. The patient will be able to breathe more easily in this position.
The nurse performing a physical assessment of a client with Alzheimer's disease documents that the client is delusional. Which of the following is an example of this mental alteration?
A) A client rummages though drawers without any purpose. B) A client accuses a nurse of taking her slippers, which are under the bed. C) A client hears voices telling her to leave the building. D) A client believes that the nursing home has taken all her money.
The nurse is preparing to care for a patient who will be taking an antihypertensive medication. Which action by the nurse is part of the assessment step of the nursing process?
a. Asking the prescriber for an order to monitor serum drug levels b. Monitoring the patient for drug interactions after giving the medication c. Questioning the patient about over-the-counter medications d. Taking the patient's blood pressure throughout the course of treatment