The nurse at an inpatient behavioral health center is providing care to several patients with different substance use disorders who are in various stages of the detoxification process. Which nursing interventions will take priority? Select all that apply
1. Vital signs
2. Medication administration
3. Motivational interviewing
4. Intake and output
5. Neurological assessment
Answer: 1, 2, 4, 5
Explanation: Priority nursing interventions for patients in the detoxification process are those that relate to patient safety, and will include careful monitoring of vital signs, monitoring fluid volume and electrolyte levels, monitoring neurological status, and safe administration of medications to ensure patient medical conditions do not place patients at further risk for injury. Motivational interviewing, including assessing patients' readiness to change, does not take priority over patient safety during the detoxification process.
You might also like to view...
During the assessment of the client experiencing early shock, what findings should the nurse expect?
1. Shallow, rapid respirations 2. Increased blood pressure 3. Confusion 4. Cold, clammy skin
A patient with bipolar disorder has been prescribed lithium. Which is the priority nursing intervention?
1. Assist the patient in developing self-determination. 2. Discuss environmental modifications. 3. Change medications to control side effects. 4. Teach the patient about the medication.
Nurse managers are in a position of impacting the stress levels of employees through improving work environments and creating a culture of enhanced staff satisfaction. What type of leader is most effective at creating such an environment?
a. Transformational b. Authoritative c. Laissez-faire d. Transitional
A nurse is preparing to give a presentation at a community screening program on prostate cancer. The nurse plans to include the following information:
A) Annual digital rectal exams, DRE, are recommended after age 65. B) African Americans are considered at highest risk for this cancer. C) Prostate cancer has a low incidence of metastasis to other organs. D) A diet high in dairy products is a risk factor.