Which action(s) can the nurse take to prevent sensory overload? Choose all that apply
1) Leave the television on to block out other noises.
2) Minimize unnecessary light in the patient's room.
3) Plan care to provide uninterrupted periods of sleep.
4) Speak calmly with a moderate voice volume.
ANS: 2, 3, 4
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The nurse is developing a nursing care plan for a newly admitted patient. What is the first step the nurse will take in developing this care plan?
a. Health history b. Review of systems c. Family history d. Nursing assessment
An older patient with hypothyroidism asks why her daily dose of thyroid hormone, which she has taken for 15 years, has been reduced. What is nurse's best rationale when explaining what the decreased dose is related to?
a. Improved efficacy of the thyroid prepara-tion b. Age-related reduction in metabolic rate c. Drug-related hypertrophy of the thyroid d. Changes in your diet and activity level
The nurse prepares to assess a client. Which question should the nurse use to assess for dietary supplement use?
a. "In addition to your prescribed medication, are you using any over-the-counter remedies, herbs, vitamins, minerals, or other supplements you purchase?" b. "Are you or your family members using dietary supplements?" c. "Do you take any other pills to help treat or prevent certain diseases or illnesses?' d. "Have you ever tried any all-natural weight loss products?"
The care plan of an older adult patient states that the patient should be monitored while in the bathroom because of a history of vasovagal reflex. The nurse knows that she should as-sess for:
1. extremely elevated blood pressure after ambulation. 2. nausea and vomiting after a meal. 3. lightheadedness and fainting during defecation. 4. inability to urinate.