The nurse is caring for a patient diagnosed with anxiety. Which is the priority for assessment for a patient with anxiety?
1. Patient safety
2. Signs of mania
3. Objective symptoms
4. Subjective symptoms
Answer: 1
Explanation: The nurse's priority is always patient safety. Once the patient's safety has been assessed, the nurse continues the assessment.
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A PHN is looking into the high rate of diabetes in the community. The nurse knows that there are three categories of risk factors in the field of epidemiology to be considered in the investigation. These categories include all of the following except
A. Prevalence B. Behavioral C. Environmental D. Genetic
The mother of an infant born 32 weeks premature expresses the desire to breast-feed her child. An appropriate suggestion by the nurse would be
1. "Mothers who cannot directlybreast-feed should talk with and stroke their infants during gavage feedings as this may help facilitate milk letdown" 2. "The letdown reflex is best initiatedby having the baby suck at the breast" 3. "Pumping should be done nomore than three times daily, making sure to empty each breast completely" 4. "The mother should beginpumping by six hours postpartum to ensure adequate milk production"
A neonate is being fed 20 mL every three hours by orogastric lavage. At the beginning of this feeding,the nurse aspirates 15 mL of gastric residual. The nurse should
withhold the feeding and notify the physician. 2. replace the residual and continuewith the full feeding. 3. replace the residual but only give 5 mL of the feeding. 4. withhold the feeding and check theresidual in three hours.
An elderly client receives temazepam (Restoril) for sleep. Which assessment data is indicative of a potentially serious complication?
1. The client reports a dry mouth. 2. The client becomes agitated. 3. The client sleeps for 1 hour longer than usual. 4. The client reports a decrease in appetite.