A nurse who is caring for an elderly client notices an abrupt change in the client's mental status. The client is now yelling, thrashing about, and hallucinating. Which term should the nurse use to document the client's behavior?
A) Delirium
B) Confusion
C) Dementia
D) Alzheimer
A
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As a manager, it is important for you to develop skills in:
1. social communication with your staff. 2. understanding nonverbal messages from those you manage. 3. understanding nonverbal messages from both those you manage and your leaders. 4. therapeutic communication with patients.
The nurse is caring for a patient who is taking hydrochlorothiazide (HydroDIURIL) and digoxin (Lanoxin). Which potential electrolyte imbalance will the nurse monitor for in this patient?
a. Hypermagnesemia b. Hypernatremia c. Hypocalcemia d. Hypokalemia
The client has been ordered treatment with Aralen. The nurse expect to see decreased _____ in the client
a. serum glucose b. potassium c. hemoglobin and hematocrit d. calcium
Multiple severely injured clients have arrived in the emergency department. On rapid assessment, the nurse notes that a leg wound dressing has a 4 cm 6 cm blood spot that has soaked through the bandage. The client is otherwise stable
What action should the nurse take? 1. Place a tourniquet above the wound. 2. Remove the dressing and place direct pressure on the wound. 3. Add additional dressing to the wound without removing the original. 4. Remove the dressing and replace it with a new sterile dressing.