A male client receives a local anesthetic during surgery. During the post-operative assessment, the nurse notices the client is slurring his speech. Which action should the nurse take?
A) Determine the client is anxious and allow him to sleep.
B) Evaluate his blood pressure, pulse, and respiratory status.
C) Review the client's pre-operative history for alcohol abuse.
D) Continue to monitor the client for reactivity to anesthesia.
Answer: B) Evaluate his blood pressure, pulse, and respiratory status.
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A priority focus of milieu management for a patient diagnosed with dissociative identity disorder (DID) should be
a. ensuring safety. b. stimulating memory return. c. insight-oriented group therapy. d. gathering data about family relationships.
The nurse is providing care to a client who is diagnosed with multiple sclerosis. When teaching the client about the medication therapy, which goals will the nurse include?
Standard Text: Select all that apply. 1. Modifying the progression of the disease 2. Treating acute exacerbations 3. Managing symptoms 4. Curing the disease 5. Remyelinating nerve fibers.
Pressure sores cannot develop if a patient gets up in a chair frequently
Indicate whether the statement is true or false
During the first prenatal visit for a 20-year-old Hispanic woman, the nurse assesses the patient's health beliefs and practices. Which questions are appropriate as part of this assessment? Select all that apply
a. "You are Hispanic, do you need me to find an interpreter?" b. "What is the language that is usually spoken in your home?" c. "How do you define health and illness?" d. "Which Catholic church do you attend?" e. "Do you have specific beliefs or preferences concerning food or food preparation?" f. "Do you or the members of your family have certain beliefs and practices surrounding pregnancy and childbirth?"