The milieu for a patient with a hallucinogen overdose should have which features?
a. Simple and safe
b. Active and bright
c. Stimulating and colorful
d. Confrontational and challenging
A
Because the individual who has ingested a hallucinogen is probably experiencing feelings of unreality and altered sensory perceptions, the best environment is one that does not add to the stimulation. A simple, safe environment is a better choice than an environment with any of the characteristics listed in the other options. The other options would contribute to a "bad trip."
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A family member wants to donate blood for a client who needs a blood transfusion. What information from the family member would make them ineligible for donation?
A) The family member was serving in the military in England in 1993 for 2 years. B) The family member had a surgical procedure 4 years previously for an inguinal hernia. C) The family member received a blood transfusion 10 years previously at a hospital in Canada. D) The family member takes an antihypertensive medication for control of blood pressure.
When assessing the understanding of the client with COPD in using oxygen at home, which comment would indicate the need for further instruction?
a. "For severe shortness of breath, I can increase my oxygen to five liters." b. "I should avoid open flames while using oxygen." c. "I should avoid the use of hair dryers while using oxygen." d. "I should avoid the use of electric toothbrushes while using oxygen."
The nurse is utilizing the technique of inspection during a physical examination with a client. When using this technique, the nurse will take which actions?
1. Visually observe a body area. 2. Obtain information through the sense of smell. 3. Obtain information through the sense of hearing. 4. Examine the body through the use of touch. 5. Strike the body to elicit a sound from a body part.
To best prevent a systemic effect from a topically applied medication patch, the nurse must:
1. Alternate application sites regularly 2. Avoid applying the medication to broken skin 3. Monitor the client for signs of an irritating rash 4. Remove residual medication with mild soap and water