The psychiatric–mental health nurse is assessing a new client recently diagnosed with an anxiety disorder and high blood pressure
The nurse knows to closely monitor vital signs and review this client's medication list for: Standard Text: Select all that apply. 1. Haloperidol (Haldol).
2. Acetaminophen (Tylenol).
3. Aspirin.
4. Olanzapine (Zyprexa).
5. Thioridazine (Mellaril).
1,4,5
Rationale: Haloperidol (Haldol). Clients with cardiac problems may be at increased risk for cardiac arrhythmia because of vasovagal stimulation with certain techniques such as active progressive relaxation. Some psychotropic medications such as haloperidol may cause hypotension.
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Patient-centered care requires the nurse to: (Select all that apply.)
a. understand patient preferences b. be aware of family values c. recognize the patient's expectations d. base conclusions on the nurse's personal experiences e. provide care in a standardized manner
A community health nurse is performing a home visit to an elderly client who receives twice-weekly wound care. The client has mentioned that she has been having difficulty sleeping, a problem that she has not previously experienced
Which of the following measures should the nurse suggest? A) Having the client ask her physician for a benzodiazepine during her next scheduled visit B) Purchasing an over-the-counter sleep aid and trying it for 1 to 2 weeks C) Encouraging the patient to change her diet and exercise habits D) Having the client ask her physician for an off-label hypnotic medication
A nurse is performing a wet-to-dry dressing change on a stage IV pressure ulcer. What is the purpose of this type of dressing?
a. Keep the wound moist. b. Prevent infection. c. Débride necrotic tissue. d. Increase circulation to the tissue.
A client says that he does not want one particular nurse to care for him because she becomes defensive when he tells her how he is feeling and what he needs. The client is at risk for which of the following?
a. Prolonged hospitalization b. Poor outcomes of care c. Refusing to participate in the evaluation process d. Rehospitalization at a later date