An intramuscular dose of antipsychotic medication needs to be given to a client who is becoming
increasingly more aggressive. The client is in the day room. The nurse should
a. enter the day room and say "Would you like to come to your room and take some
medication that your doctor has ordered for you?"
b. take three staff members to the day room as a show of solidarity and say "Please
come to your room so I can give you some medication that will help you feel
more comfortable.".
c. take a male nursing assistant to the day room and tell the client "You can come to
your room willingly so I can give you this medication, or the aide and I will have
to take you there.".
d. enter the day room, place the client in a basket hold, and say "I am going to take
you to your room to give you an injection of medication to calm you.".
B
A client gains feelings of security if he or she sees others are present to help with control. The nurse
gives a simple direction, honestly states what is going to happen, and reassures the client that the
intervention will be helpful. This positive approach assumes the client can act responsibly and will
maintain control. Physical control measures should be used only as a last resort. Option A offers the
client a choice, something the nurse does not actually plan to permit. Option C threatens the client.
Option D restrains the client before knowing whether such a measure is necessary.
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Which pharmacokinetic/pharmacodynamic parameter is least affected by the aging process?
a. Absorption b. Distribution c. Metabolism d. Excretion
The client is prepared for shoulder surgery and tells the preoperative nurse that the scar will be invisible after the surgery. Which should the nurse implement next?
1. Tell client that this surgery always leaves a scar. 2. Change consent form to reflect what client says. 3. Inform surgeon that client is not ready for surgery. 4. Confirm procedure and patient identity on consent.
A nurse working on a pediatric floor has three patients. Which patient should be seen first?
1. A four hour old post-op appendectomy with IV fluids and an antibiotic due 2. The child with abdominal pain and rectal bleeding with IV fluids. 3. An infant that had hernia repair surgery yesterday. 4. A family needing teaching about diet restrictions related to Celiac Disease