A nurse assesses four new patients. Which statement causes the nurse to suspect the patient may be self-medicating with an alternative therapy?
a. "I frequently have skin rashes that itch."
b. "Constipation is an everyday problem for me."
c. "My computed tomography scan shows that I have uterine fibroid tumors."
d. "I've been very depressed and anxious since I lost my job."
D
Herbals are among the most frequently used alternative therapies for depression. Four of the 12 most common herbs are used to treat or prevent psychiatric symptoms. None of the other options reflects such a common problem that is treated with an alternative therapy.
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A nurse manager in the intensive care unit (ICU) notes a pattern for a staff nurse who excessively "wastes" narcotics, and the manager suspects the staff nurse may be impaired
Which clinical situation may have contributed to the staff nurse's problem? A) Caring for clients who require IV medications B) Easy access to prescription drugs C) Easy access to client care areas D) Caring for clients who require numerous oral medications
The nurse provides the following instructions for a client with phimosis:
A) "Retract the foreskin behind the glans for an hour at least three times a day." B) "You will need to contact your physician to schedule a circumcision." C) "Keep your penis clean and dry and contact the doctor if you develop pain and redness." D) "Do not take tub baths, because they may increase the possibility of infection."
The nurse is administering a drug to stimulate alpha-1 adrenergic receptors. The nurse should:
a. monitor the client's lung sounds. b. monitor the client's blood pressure. c. anticipate resolution of the client's bronchial asthma attack. d. palpate the client's radial pulse prior to administration of the drug.
Matt is a 41-year-old client who has a long history of intravenous heroin and cocaine use. He has been admitted to the hospital for the treatment of endocarditis and is adamant that his current pain control regimen is inadequate
Some nurses on the unit are suspicious of Matt's motives and suspect that he is "drug seeking." How should the nurse begin the process of applying Chally and Loriz's model for resolving ethical dilemmas? A) Seek assistance from impartial informants. B) Create a list of plausible alternatives. C) Clarify exactly what the ethical dilemma is. D) Ask if the client himself believes there to be an ethical dilemma.