Several hours after being admitted to the ICU for a head injury, the nurse notes that the client is more lethargic and confused, is mumbling her speech, and is very difficult to arouse. The nurse takes which priority action?
A. Assess the patient's blood pressure for shock
B. Make sure suction equipment is at the patient's bedside
C. Anticipate changing the IV from 0.9% to 0.45% saline solution.
D. Contact the family to arrange for hospice care
Answer: B. Make sure suction equipment is at the patient's bedside
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Some reliable methods of memory improvement to help one remember material for the NCLEX-RN exam are listed below. Which is not necessarily correct?
a. mnemonic devices c. cramming the night before b. self-recitation d. mental imagery
The nurse is teaching a parent group of adolescent children about body piercings and tattoos. What is most important for the nurse to include in her teaching? Select all that apply
a. Body piercing and tattooing often indicate low self-esteem. b. Tattoos and piercings can cause hepatitis. c. Tattoos and piercings can cause skin infections. d. People who have body piercings and tattoos probably abuse drugs.
The nurse is trying to take a history from a cooperative but fearful older person with mild dementia. Which of the following would be the most therapeutic strategy to use for this interaction?
a. sit calmly in a chair next to the person and ask questions in a non-threatening manner b. ask loud, direct questions c. have the person write down the information on the chart d. ask the family member instead of the person
The nurse is caring for a 35-year-old father of three young children who has experienced a com-pound fractured femur as a result of a work-related incident
He has expressed great concern over both his physical recovery and his long-term ability to work again. This has affected both his emotional status and his sleeping patterns. The nurse's most immediate concern is that: 1. The client needs medication to prevent depression 2. The lack of appropriate rest will affect his healing process 3. An occupational therapy consult should be ordered to help him regain his ability to return to his job 4. A psychiatric consult should be ordered to help the client deal with his various emotional concerns