A patient who takes a traditional antipsychotic medication says, "I feel shaky and very warm." The patient is diaphoretic. What is the nurse's best first action?
a. Take the patient's vital signs.
b. Position the patient in the semi-Fowler's position.
c. Begin oxygen by nasal cannula at 2 L/min.
d. Place the patient on one-to-one supervision.
A
The signs and symptoms suggest that the patient might be experiencing NMS. The first action would be to check vital signs. NMS produces elevated temperature, blood pressure fluctuations, and irregular heart rate in addition to muscle rigidity and altered levels of consciousness.
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A patient, aged 77 years, has Alzheimer's disease and lives wither daughter. While checking her blood pressure at the clinic, the nurse noticed fresh bruises on the patient's palms and buttocks. The patient could not explain these bruises
The nurse discussed her observations with the daughter, who became defensive and said that her mother was very difficult to manage. She stated, "My mother is getting worse every week. She is not my mother anymore. She can't recognize me, and she wanders all night. We take turns because she has to be watched constantly. Last night I fell asleep, and she fell down the stairs while wandering.". Which statement is most accurate? a. Reporting the injuries in this case is not indicated by available data. b. The nurse should report the injuries as suggestive of elder abuse. c. The nurse is only required to report the injury if the patient is incompetent. d. The nurse is legally required to report the injuries as possible abuse.
An older female patient believes taking high doses of vitamin A will help preserve her eyesight. What information about vitamin A should the nurse include when responding to the patient?
A) The vitamin can build up too high in the blood. B) Taking too much vitamin A can lead to dehydration. C) The vitamin can be displaced at protein-binding sites. D) The vitamin can build up too high in the adipose tissues.
What should researchers do to verify transcription accuracy?
A) Transcribe the data themselves B) Use a word processor's spell-check and grammar-check program C) Listen to the audiotapes as they are reading the transcriptions for accuracy D) Ask all study participants to review the transcriptions for accuracy
A nurse is providing education on blood pressure during a community function. Someone in the audience asks where the baroreceptors that monitor blood pressure are located. The nurse's cor-rect response would be to identify what part of the body?
a. The brachial artery in the upper arm b. The adrenal glands at the kidneys c. The heart at the aortic arch d. The renal glomerulus