You are caring for a client during acute substance withdrawal. What is considered the nursing standard of care for monitoring vital signs?
A) Every 1–2 hours during the first 3–4 days of withdrawal
B) Every 2–4 hours during the first 3–4 days of withdrawal
C) Every 8 hours during the first 3–4 days of withdrawal
D) Every shift during the first 3–4 days of withdrawal
A
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An experienced nurse explains to a newly hired nurse that understanding other cultures' worldviews is important in helping individuals meet health care goals, because
a. culture is an important concept in health and illness. b. every culture has its own related values and attitudes. c. people may be afraid of others with differing views. d. people's worldviews influence their perception of health care.
A nurse working in the emergency department (ED) notes that a healthcare provider smells strongly of alcohol and appears confused. Which action by the nurse is appropriate?
A) Contact the charge nurse to report the problem. B) Tell the healthcare provider to attend AA. C) Report the healthcare provider to the hospital CEO. D) Report the healthcare provider to the state licensing board.
The nurse is caring for a large-for-gestational-age infant born to a patient with diabetes mellitus. Why should the nurse schedule routine blood glucose measurements for the infant?
A) To detect rebound hypoglycemia B) To determine insulin dosage to administer C) To explain the effects of maternal hyperglycemia on the baby D) To estimate the amount of calories to provide the infant through formula
A patient diagnosed with dementia is watching a crime story on television. Suddenly, the patient begins to yell, "Stop! He's got a gun." What is the nurse's best intervention?
a. Administer a PRN dose of an atypical antipsychotic medication. b. Turn off the television and tell the patient, "You are safe." c. Reassure the patient that there are no guns nearby. d. Provide a snack, and put the patient in bed.