A patient is brought to the emergency department by a family member. The patient reports seeing colored lights and describes feeling bugs crawling under the skin. The nurse suspects that this patient is abusing which drug?
a. Alcohol
b. Cocaine
c. LSD
d. Methamphetamine
ANS: B
A stimulant psychosis can occur with chronic use of any stimulant and, with cocaine, progresses to visual hallucinations of colored lights and tactile hallucinations of bugs crawling under the skin. These are not signs of abuse with alcohol, LSD, or methamphetamine.
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A client is on a ventilator and is sedated. What care may the nurse delegate to the unlicensed assistive personnel (UAP)?
a. Assess the client for sedation needs. b. Get family permission for restraints. c. Provide frequent oral care per protocol. d. Use nonverbal pain assessment tools.
The nurse is planning the teaching/learning objectives for a patient who comes into the clinic to learn about hormonal therapy and is experiencing stress. What will help the patient's learning process?
a. Covering as many topics as possible at one time b. Timing the teaching to coincide with visiting hours c. Teaching the patient while a favorite television program is playing in the background d. Systematic teaching in a quiet, unhurried setting
A patient is scheduled to have a magnetic resonance imaging scan (MRI). What information is most important for the nurse to obtain before the procedure?
1. whether the patient is wearing any metal 2. when the patient last ate or drank 3. whether the patient is allergic to shellfish 4. whether the patient has any loose teeth
The client receives chemotherapy as therapy for cancer. The physician orders epoetin alfa (Procrit) subcutaneously. The client asks the nurse if this drug is also chemotherapy. What is the best response by the nurse?
1. "No, but it works with your chemotherapy to make it more effective." 2. "No, this drug helps to counteract the nausea and vomiting caused by your chemotherapy." 3. "No, it will stimulate your immune system to help you battle the cancer." 4. "No, this drug will help prevent anemia that can be caused by your chemotherapy."