A patient has asked a nurse to assist him to ambulate to the bathroom. The nurse is aware that the patient is currently taking an antidepressant medication. What action should the nurse imple-ment?
a. Never leave the patient alone in his room.
b. Ask the patient if he could use the bedside commode instead of going to the bath-room.
c. Make suicidal precautions part of the care plan.
d. Ask the patient to sit on the side of the bed for a minute or two before standing and then stand slowly.
D
Psychotropic drugs, such as antidepressants, commonly cause orthostatic hypotension. The pa-tient should sit on the side of the bed and then stand slowly to prevent falling.
You might also like to view...
A family in the emergency department is overwhelmed at the loss of several family members due to a shooting incident in the community. Which intervention by the nurse is most beneficial?
a. Offer the family choices as appropriate and possible. b. Call the hospital chaplain to stay with the family. c. Do not allow visiting of the victims until the bodies are prepared. d. Provide privacy for law enforcement to interview the family.
The nurse is writing a nutritional plan for a stroke patient with right sided hemiplegia and hemianopia. Appropriate nursing interventions include
A. Thinning liquids to enhance swallowing B. restricting intake to liquids C. placing food in the left side of the mouth D. placing food interns in the right visual field
Some microbes are able to adapt to extreme environmental conditions.
Answer the following statement true (T) or false (F)
When the nurse delegates measurement of vital signs to unlicensed assistive personnel (UAP), which are the nurse's responsibilities?
1. Assessment of vital sign readings obtained by UAP 2. Assessment of the UAP's skills in measuring vital signs 3. Determination that the vital signs were obtained correctly 4. Follow up on vital sign measurements that are abnormal or unexpected 5. Observe the UAP as vital signs are being measured