A male patient has been brought to the emergency department during an episode of status epilepticus. Diazepam is to be administered intravenously. The nurse will be sure to
A) avoid the small veins in the dorsum of the hand or the wrist.
B) inject the diazepam very quickly, 15 mg in 10 to15 seconds.
C) administer after diluting the drug with gabapentin in intravenous solution.
D) inject very slowly, no faster than 100 mg/minute.
A
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While the nurse prepares to suction the patient's tracheostomy tube, the patient coughs up mucus, which is visible at the opening of the tube. Which action by the nurse is most appropriate at this time?
a. Hyperoxygenate this patient. b. Suction the visible secretions. c. Listen to the lung sounds. d. Wipe the mucus off with tissue.
A 20-year-old client has a history of suicide attempts of low to moderate lethality. He has been seeing a nurse psychotherapist for 4 years
Late one Friday evening, the nurse psychotherapist receives a telephone call from the client stating that he has ingested half a bottle of aspirin. The nurse psychotherapist advises the client to call 911 for emergency assistance and says that he will be available to reschedule a psychotherapy appointment when the client has recovered. What is the explanation for the nurse psychotherapist's behavior? A) He is using an aversive stimulus in response to the client's suicide attempt. B) He is using negative reinforcement in response to the client's suicide attempt. C) He is minimizing reinforcement of the client's suicidal behavior with the goal of extinction. D) He lacks empathy for the client's recurring suicidal behavior.
A nurse is preparing a 30-year-old client suspected of having a gastric ulcer for
gastroendoscopy. Which body part is sterile and does not require disinfection? A) Oral cavity B) Abdominal cavity C) Skin surface D) Upper respiratory tract
A patient on the inpatient psychiatric–mental health unit was discovered attempting to asphyxiate himself using a blanket. Which of the following measures should the care team prioritize in the patient's immediate care?
A) Assessing the specific motivation for the patient's attempted suicide B) Placing the patient on suicide precautions C) Teaching the patient improved coping skills D) Managing the patient's anxiety