The nurse prepares to take vital signs for a patient experiencing mani
a. What is the nurse's best intervention when the patient's talking interferes with the assessment?
a. Use a voice volume louder than the patient's to say, "Stop talking now."
b. Interrupt by saying, "It's time to take your vital signs now."
c. Delay taking the vital signs until the patient is quieter.
d. Wait tolerantly for the patient to finish talking.
B
There are times when the nurse must simply, calmly, and firmly interrupt a manic patient. Waiting is counterproductive. Yelling at the patient and delaying necessary assessments are inappropriate.
You might also like to view...
A nurse is working with a male patient who has recently received a diagnosis of human immunodeficiency virus (HIV). When performing patient education during discharge planning, what goal should the nurse emphasize most strongly?
A) Encourage the patient to exercise within his limitations. B) Encourage the patient to adhere to his therapeutic regimen. C) Appraise the patient's level of nutritional awareness. D) Encourage a disease-free state,
A primary health care provider orders opioid antagonist treatment for a client with respiratory depression. The nurse should be aware of which of the following conditions that can occur during an abrupt reversal of opioid respiratory treatment?
A) Dizziness B) Headache C) Vomiting D) Lightheadedness
Which nursing intervention best supports the concept that the nursing process is dynamic in nature?
1. Reviewing the patient's health care chart 2. Agreeing with the patient on stated treatment goals 3. Providing the patient with information on the ordered medication 4. Re-addressing patient interventions after a change in the patient's status
Which nurse founded the Frontier Nursing Service and was a pioneer in nurse-midwifery?
1. Florence Nightingale 2. Jeanne Mance 3. Mary Breckinridge 4. Lydia Hall