A mechanically ventilated patient with an endotracheal tube in the critical care unit is being actively weaned and is off sedation medication
As he begins to wake up for the first time since his admission, he becomes increasingly agitated, pulling at his gown, kicking his feet, and grimacing. The nurse responds to the situation by
a. medically treating the patient to sedate him again.
b. putting him in restraints because his issues are behavioral.
c. telling him to stop moving around before he extubates himself.
d. quickly providing emotional comfort to reduce the patient's anxiety and telling him simple facts to help him understand the situation.
D
The need for oxygen and survival predominates over all other human needs. According to Maslow's hierarchy of human needs, lower-level, physiologic needs must be satisfied before an individual can move on to higher-level issues. Experiencing a significant physiologic stressor may completely consume all the patient's available energy and thoughts, affecting his or her ability to interact, comprehend, and respond.
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The home health nurse is caring for an elderly patient with benign prostatic hypertrophy. An anticholinergic drug has been prescribed. What would be the nurse's priority teaching point for this patient?
A) Urinary incontinence may develop. B) Bladder hypertonia may develop. C) An increased dosage may be required. D) Empty the bladder before taking the drug.
A patient with nasal trauma has clear, watery fluid dripping from the nose. After testing, the nurse learns this fluid contains glucose. What should this finding indicate to the nurse?
1. There is a fracture of the ethmoid or sphenoid sinus. 2. The patient needs to be suctioned. 3. Cerebrospinal fluid is present. 4. The patient has coryza.
Your charge nurse has been in a meeting with the director of nursing (DON)
The DON has been given some very unpleasant mandates by the administrator and has very abruptly handed them down to the DON who has, in turn, forcefully handed them down to the charge nurse. It is now the charge nurse's task to hand them down to the nursing staff. The charge nurse gives the news to the staff in a very angry manner. This procession of behavior throughout the nursing hierarchy is an example of: A) Sublimation B) Identification C) Transference D) Reaction formation
The literature review section should conclude with a critical evaluation of knowledge on the problem of interest
A) True B) False