You are probably in a relationship danger zone if you
A. spend a little extra time talking to a patient.
B. are attentive to the patient's needs.
C. treat all patients with dignity and respect.
D. discuss personal problems with the patient.
Answer: D
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A patient comes to the emergency department in the irreversible stage of shock. The best nursing intervention would be:
A) Provide opportunities for the family to spend time with the patient and help them to understand the irreversible stage of shock. B) Inform the patient's family early that the patient will likely not survive, which allows the family time to make plans and move forward. C) Closely monitor fluid replacement therapy and inform the family that the patient will probably survive and return to normal life. D) Protect the patient's airway, optimize intravascular volume, and support the pumping action of the heart.
What type of tremor is he most likely to have?
A 77-year-old retired school superintendent comes to your office, complaining of unsteady hands. He says that for the past 6 months, when his hands are resting in his lap they shake uncontrollably. He says when he holds them out in front of his body the shaking diminishes, and when he uses his hands the shaking is also better. He also complains of some difficulty getting up out of his chair and walking around. He denies any recent illnesses or injuries. His past medical history is significant for high blood pressure and coronary artery disease, requiring a stent in the past. He has been married for over 50 years and has five children and 12 grandchildren. He denies any tobacco, alcohol, or drug use. His mother died of a stroke in her 70s and his father died of a heart attack in his 60s. He has a younger sister who has arthritis problems. His children are all essentially healthy. On examination you see a fine, pill-rolling tremor of his left hand. His right shows less movement. His cranial nerve examination is normal. He has some difficulty rising from his chair, his gait is slow, and it takes him time to turn around to walk back toward you. He has almost no “arm swing” with his gait. A) Resting tremor B) Postural tremor C) Intention tremor
A trend in psychiatric nursing related to cost controls imposed in the managed care environment is:
a. reduced emphasis on utilization review. b. a marked increase in the use of risk managers. c. reduced use of patient and family educators to promote compliance. d. a shift from acute inpatient to community-based positions.
Combining nitroglycerin and Viagra may result in the patient experiencing which side effect?
A. dysrhythmias B. hypertension C. hypotension D. arrhythmias