When awakening the patient, you should
A) call the patient's name from the door.
B) shake the patient gently by the shoulder.
C) place your hand on the patient's arm and say his name.
D) grab the patient's foot and gently turn it side to side.
C
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The nurse in the intensive care unit enters her patient's room and observes the patient is experiencing a seizure. What are the most appropriate interventions by the nurse? Select all that apply
a. Insert a padded tongue depressor in the patient's mouth. b. Turn the patient to his side. c. Restrain the patient to control his jerking movements. d. Loosen any restrictive clothing. e. Pad the siderails of the patient's bed.
The nurse plans care to protect the skin covering an older adult's greater trochanter. Which of the following interventions is the nurse's priority when the older adult is positioned on the side?
a. Implement a turning schedule. b. Place a cushion between the knees. c. Keep the skin clean and dry. d. Use the Sims' position.
A first-year college student tells the nurse that he feels like he has lost so much over the last year. The nurse realizes the college student is describing:
a. physical loss. c. maturational loss. b. situational loss. d. perceived loss.
In the continuing assessment of a preterm infant, the nurse notices continued respiratory distress even though oxygen and ventilation have been provided. The nurse should suspect:
1. hypovolemia and/or shock. 2. a nonneutral thermal environment. 3. central nervous system injury. 4. pending renal failure.