A patient in the emergency room is suspected to have an overdose of benzodiazepines. Which assessment findings validate this diagnosis? Select all that apply
a. Blood pressure 180/94 mm Hg
b. Diminished reflexes
c. Hypervigilance
d. Somnolence
e. Confusion
B, D, E
Benzodiazepine toxicity may result from an overdose. Assessment findings include hypotension, somnolence, confusion, and diminished reflexes.
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A family has been able to earn enough money to raise their overall income level from the federal poverty guidelines. Health restoration strategies to maintain their income at this level would be to: (Select all that apply.)
1. Assist the family in making and adhering to a budget. 2. Explore the factors that led to the family earning less money before. 3. Join a local cooperative to help buying efforts to stretch their income farther. 4. Refer the family to a local social service agency for emergency funds should they need them. 5. Encourage family members to seek higher income employment.
The reasonable person standard states that:
a. it takes a reasonable person to maintain a good relationship b. reasonable people tend to have reasonable children and make good partners c. it is used to demonstrate a breach of duty d. it is used by State Boards of Nursing to evaluate the male-female ratios according to clinical position
A client from a different culture than the nurse's has had numerous visitors during his stay. In fact, there are visitors in the room at all times. In order to address this in a culturally sensitive manner, the nurse should:
A) Have the physician limit the number of visitors the client can have. B) Tell the client that he has to limit visitors. C) Question the family as to how they see their interaction with the client. D) Evaluate the benefits of family participation in the client's care.
The classification of infants at birth is based on gestational age and:
a. Birth weight b. Maturity of body systems c. Physical appearance d. Weeks after the mother's last menstrual period