A patient in the intensive care unit will experience less sensory overload
A) If a clock displays date, time, AM/PM
B) If the nurse silences the alarms
C) If the nurse provides touch every hour
D) If the family visits at all times
Ans: A
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A patient experiences facial angioedema after receiving a dose of a new antibacterial drug. Which assessment should be performed first?
a. Airway adequacy b. Peripheral lung sounds c. Rate and depth of respirations d. Symmetry of respiratory movement
Loss can be:
a. actual. b. perceived. c. temporary. d. all of the above.
While assessing a client with schizophrenia, the client states, "Everywhere I turn, the government is watching me because I know too much. They are afraid that I might go public with the information about all those conspiracies"
The nurse interprets this statement as indicating which type of delusion? A) Grandiose B) Nihilistic C) Persecutory D) Somatic
The nurse is planning to teach a family member about effective massage techniques. Which information is most important to include in the teaching plan?
a. Use heat and a mild menthol cream for comfort. b. Pound painful areas with the sides of the hands. c. Gently and firmly massage of areas of in-flammation. d. Use long, firm strokes while avoiding areas of inflammation.