When a resident paces and wanders, you should
A) restrain the resident in a chair for safety.
B) ask the nurse to calm the resident down.
C) allow the resident to wander but monitor him.
D) ask an alert resident to monitor the wanderer.
C
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The nurse is caring for a female patient who has undergone a total hip replacement. The patient states she feels an increase in pain at the surgical site after being repositioned in bed
The most appropriate intervention the nurse should make first is: A) Assess for abnormal external rotation of the leg. B) Raise the head of the bed. C) Adjust the hip pillow. D) Assess for lengthening of the leg.
The nurse is caring for a teenager recently hospitalized with asthma. Several peers are preparing to visit the client and have brought gifts for the client
The nurse intervenes and prevents which of the following items from being brought into the patient's room? 1. Magazines 2. Candy 3. MP3 player 4. Fresh flowers
A male patient is diagnosed with mitochondrial encephalopathy. The patient's daughter asks, "Since this is a genetic disorder, am I at risk for having it too?" Select the nurse's best response
a. "Your risk is related to exposure to environmental toxins." b. "No, this problem is only passed on by the mother." c. "You must be feeling very worried." d. "Your risk is not predictable."
The nurse is assisting with discharge of a patient with Addison's disease following an adrenal crisis. Which instruction is most important for the nurse to reinforce?
a. The need for a well-balanced diet b. How to monitor blood glucose levels c. The importance of 30 minutes of exercise each day d. The importance of taking steroid replacements as prescribed ____