An aggressive client removes herself from an environment on the unit that is overstimulating. One beneficial approach for the nurse to use with this situation is:
A) Validation.
B) Information.
C) Reward.
D) Commendation.
D
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A patient is started on morphine via patient-controlled analgesia (PCA) to control persistent cancer pain. The nurse knows that to prevent central nervous system (CNS) depression the patient should do which of the following?
a. Monitor IV site for patency. b. Monitor the patient closely for the 15 minutes. c. Record baseline blood pressure and respiratory rates before the start of the medication. d. Give a small dose of naloxone prior to starting the morphine.
An important concept to teach patients who take expectorants, antitussives, decongestants, or bronchodilators is that:
1. these are all over-the-counter medications that must be used with caution. 2. medication effectiveness will be enhanced with adequate patient hydration of more than 2 quarts of water per day. 3. these preparations frequently cause adverse effects, and the patient should not take them without consulting a physician. 4. patients may expect to develop fever, swollen lymph nodes, and tightness in the chest when taking these products.
When the nurse gently bumps the side of the infant's bed, the newborn suddenly extends both arms and legs with a tremor. The nurse knows that this response indicates:
A) opioids were given to the mother during labor, depressing the Moro reflex. B) the infant might be premature, explaining the depressed Moro reflex. C) birth trauma might have caused permanent neurological damage. D) the newborn has a normal Moro reflex.
A bill introduced in Congress would reduce funding for the care of people with mental illnesses. A group of nurses write letters to their elected representatives in opposition to the legislation. Which role have the nurses fulfilled?
a. Advocacy b. Attending c. Recovery d. Evidence-based practice