Medical terminology is NOT used in documentation
True
False
False
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The nurse is caring for a patient who will be using a hydromorphone (Dilaudid) PCA analgesia pump following surgery. Which intervention is the highest priority for the nurse to include in the patient's care plan for the diagnosis:
Readiness for enhanced knowledge r/t appropriate management of PCA pump? a. Assess the patient's respiratory status every 30 minutes after PCA pump started. b. Review patient's medication profile to check for interactions with hydromorphone. c. Teach the patient how to use PCA pump when awake and aware and pain level is tolerable. d. Keep naloxone (Narcan) available at the bedside in case of respiratory suppression.
An involuntarily admitted inpatient with paranoid schizophrenia repeatedly calls the local mayor. The patient verbally abuses the person who answers the phone as well as the mayor. Select the most appropriate initial nursing intervention
a. Allow the patient to continue to use the phone. b. Include the patient in a social skills building group. c. Suspend the patient's phone privileges temporarily, and document the reason. d. Ask the patient advocate to review the limits of the patient's rights with the patient.
A nurse cares for a rape victim who received flunitrazepam (Rohypnol) from the assailant. Which intervention has priority? Monitoring for:
a. coma. b. seizures. c. hypotonia. d. respiratory depression.
What effect do amphetamines have on the human body?
A. They stimulate the parasympathetic nervous system. B. They increase the amounts of norepinephrine (NE) and dopamine (DA) within the brain. C. They decrease endurance and increase feelings of fatigue. D. They deactivate the mesolimbic dopamine system.