While bathing a patient, the nurse notes that a transdermal patch that was meant to be on the patient for 3 days is now gone on the second day. What action should the nurse take?
a. Document the loss and apply a fresh patch to be replaced in 3 days.
b. Report the loss to the charge nurse.
c. Document the loss, replace the patch, and continue with the original schedule for replacement.
d. Remind the patient that oral pain relief will be available until the patch is replaced in 24 hours.
A
The patch should be replaced after the loss is documented, and the schedule should be changed. There is no need for the patient to wait for a new patch to be applied in 24 hours.
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Which of the following is TRUE in the stage of "fight or flight" of the general adaptation syndrome?ANS: B During "fight or flight," the blood vessels constrict because norepinephrine and epinephrine have been released
A. Heart rate is decreased. B. The blood vessels constrict. C. The blood vessels dilate. D. Exhaustion occurs.
The nurse is assessing a 3-year-old boy's development. Which response by the child indicates the need for further assessment?
A) He says a swear word when he hurts himself playing. B) He says "pew" when his sister has soiled her diaper. C) He laughs when his brother cries getting vaccinated. D) He constantly asks "why?" whenever he is told something.
The nurse is preparing to bathe the patient. Which patient statement would best communicate a desired outcome as a result of the nurse's bathing and skin care?
a. "The daily baths are great for my dry skin.". b. "The cold water felt good during the bath.". c. "I enjoyed the vigorous massage of my feet.". d. "I feel more relaxed than I have all day.".
A 35-year-old male patient signs in as a voluntary commitment for treatment for drug abuse. He strongly maintains that he does not have a problem and states, "I'm only here because my boss threatened to fire me if I didn't come in
" The best nursing response to this patient is: A) "I wonder why your boss said that, if you don't have a problem?" B) "From your perspective, what do you think is the most important information for me to know about you?" C) "Your boss sounds pretty harsh!" D) "Well, you are here on your own, so you can leave whenever you want to."