A patient presents to the emergency department and says, "I am so dizzy that it is scaring me." Monitoring reveals the patient's blood pressure is 78/52 mmHg and heart rate is 44 beats per minutes. Which nursing intervention is indicated?
1. Administer antianxiety medication.
2. Administer atropine.
3. Instruct the patient to cough forcefully.
4. Monitor the patient while contacting the primary care provider.
Answer: 2
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When working with a client who has exhibited a pattern of violent outbursts followed by remorse, a nurse's plan of care should focus on:
1. Decreasing the client's stressors. 2. Developing effective anger management techniques. 3. Offering the client family counseling. 4. Identifying the client's strengths.
The nurse is caring for a patient who is scheduled for a colonoscopy. The nurse is preparing to instruct the patient on a colon preparation procedure that will include polyethylene glycol electrolyte lavage prior to the procedure
What is the nurse aware of about the use of lavage solutions and when they are contraindicated? A) In a patient with an inflammatory bowel disease B) In a patient with polyps C) In a patient with a colostomy D) In a patient with colon cancer
The nurse is completing a health history for a client and begins to obtain a sexual history. What is the nurse's best opening question?
a. "How long have you been sexually ac-tive?" b. "Are you in a monogamous relationship with your spouse?" c. "How do you feel about answering ques-tions about your sexual history?" d. "Have you noticed any problems with your ability to have or enjoy sex?"
The nurse cares for a victim of a violent sexual assault. What is the most therapeutic intervention?
a. Use accepting, nurturing, and empathetic communication techniques. b. Educate the victim about strategies to avoid attacks in the future. c. Discourage the expression of feelings until the victim stabilizes. d. Maintain a matter-of-fact manner and objectivity.