The nurse is caring for a family whose older father with dementia is living in their home. The nurse has instructed the family about how to decrease the father's agitation
The nurse determines that the son has understood the nurse's instructions when he states which of the following?
A) "Restraints can help reduce my father's agitation."
B) "I should place my father in the bedroom with me so I can watch him more closely."
C) "It's important that he gets out shopping with me or my wife."
D) "If I simplify our home environment, my father may be less agitated."
D
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A prenatal client asks the nurse how the baby can possibly come out through her vagina, because a vagina is not nearly as big as a baby. What should the nurse include when answering this patient's question? The vagina:
1. Usually tears as it stretches during childbirth. 2. Is designed to allow a baby come through. 3. Changes from pregnancy hormones and stretches more. 4. Dilates and effaces in labor so the baby can get out.
Immediately after a spinal cord injury, a patient is started on high-dose IV methylprednisolone. What nursing assessment indicates a serious undesirable effect of this drug?
A) Slightly elevated white blood cells B) Low-grade temperature elevation C) Gastric aspirate positive for guaiac D) Increased pain below lesion
The nurse assesses an indication of hearing loss when a 3-month-old baby:
a. Does not babble unintelligible sounds b. Does not cry when startled by an extremely loud sound c. Does not turn the head toward a sound d. Frequently pulls at the ears
The nurse explains that pernicious anemia is caused by:
a. an iron deficiency. b. a deficiency of vitamin B12. c. inadequate nutrition. d. blood loss.