The nurse caring in the intensive care unit suspects that one of her patients is experiencing sensory overload. Which findings would increase her suspicion? Select all that apply
a. Disorientation
b. Restlessness
c. Hallucinations
d. Depression
e. Preoccupation with somatic complaints
ANS: A, B
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After hiatal hernia repair surgery, a client is on IV pantoprazole (Protonix). The client asks the nurse why this medication is given since there is no history of ulcers. What response by the nurse is best?
a. "Bacteria can often cause ulcers." b. "This operation often causes ulcers." c. "The medication keeps your blood pH low." d. "It prevents stress-related ulcers."
Nurses recognize that the main cause for Alzheimer's disease is:
A) Unknown at this time B) Genetic C) Related to use of aluminum cookware D) Substance abuse
The nurse is assisting this child with his oral care. Which of the following interventions would be appropriate for this child?
a. Use an alcohol-based mouthwash to decrease germs b. Use lemon-glycerin swabs to soothe gums c. Use a soft sponge toothbrush d. Rinse mouth with hydrogen peroxide to reduce germs
How did Florence Nightingale help bring about community health nursing? (Select all that apply.)
a. She convinced socially prominent wealthy women to volunteer to give care. b. She focused on all soldiers and their environment. c. She interacted with each individual person, assessing his or her needs and acting to meet those needs. d. She kept careful records on what was done and what were the results.