A nursing assistant discovers that a patient has been hoarding her medications in the bedside stand. The nursing assistant knows to report this discovery because it might be a warning sign of
A) depression.
B) fatigue.
C) suicide.
D) dehydration.
C
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To assess an accurate fundal height, the nurse should instruct the patient to:
a. press her lower back against the examination table. b. empty her bladder. c. take a deep breath and hold it. d. bear down.
A client with injuries from a motor vehicle crash is intubated for respiratory support. The nurse notes that the client is fighting the ventilator and attempting to pull out the endotracheal tube
What should the nurse do to reduce this client's risk of developing respiratory alkalosis? A) Administer a sedative as prescribed. B) Apply wrist restraints. C) Teach the client to take slow, deep breaths. D) Discuss removing the endotracheal tube with the healthcare provider.
The nurse is caring for a bedridden client. Which intervention will the nurse implement to prevent pressure ulcer formation?
a. Adjust nutritional intake based on serum albumin levels. b. Measure the ulcer diameter and depth every shift. c. Change the gauze dressing whenever drainage is observed. d. Apply antibiotic ointment to all excoriated skin areas.
A patient recovering from a broken leg asks why the pain is so sharp. What should the nurse explain about acute pain? Select all that apply.
A. The pain signal travels along nerve fibers to the spinal cord. B. The pain signal reduces blood flow to the gut. C. The pain signal spreads throughout the cortex, limbic system, and brainstem. D. The pain signal travels up to the brain portion called the thalamus. E. The pain signal releases catecholamines.