Factors that can contribute to agitation are
A. secretly drinking alcohol.
B. disliking the staff.
C. dehydration and constipation.
D. being alone.
Answer: C
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The nurse has just been notified that a client is to be admitted from the emergency department (ED) with a diagnosis of alcohol intoxication
The ED nurse says they have been unable to obtain much history because of the client's lethargic state. Which action is an appropriate intervention by the nurse? 1. Approach the client with caution when obtaining vital signs and shift assessments. 2. Place the client in a room farthest from the nurse's station so as not to disturb other clients. 3. Place the client in four-point restraints as a protective measure. 4. Post an armed security person at the client's door.
A parent discusses the development of his 7-year-old daughter. He is concerned because she has not grown much in the last year. You explain:
a. This is normally a period of rapid growthB. His daughter has not been receiving adequate nutritionC. Infancy and puberty are the periods of most rapid growth D. His daughter must be suffering from an emotional or physical illness
Which of the following statements about the ADA is true? The ADA
1. Defines persons with a disability as anyone who has a physical or sensory disability. 2. Requires that employers make "reasonable accommodations" for persons with disabilities to allow them to meet requirements for a position even if they lack education or experience. 3. Seeks to prohibit discrimination toward people with disabilities in areas related to employment, transportation, and public accommodations. 4. Was passed in 1965 in conjunction with the Social Security Act that established Medicare and Medicaid.
A nurse is caring for a hospitalized client who is undergoing peritoneal dialysis. The nurse notes that the outflow is less than the inflow on the first exchange. What should the nurse do first?
A. Irrigate the catheter B. Reposition the client C. Check the system for kinks D. Hang the second exchange and continue to monitor the outflow