MC Alternative interventions for the client who pulls at IV lines and catheters include
A. Humane belt.
B. Wrist restraints.
C. Camouflage of lines.
D. Soft wrist restraints.
C
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The client who is recovering from schizophrenia has just seen the psychiatrist and tells the nurse that the Olanzapine (Zyprexa) is being reduced from 20 mg to 15 mg
This client asks the nurse why the Olanzapine is just not discontinued since the client has not had a hallucination for two months. Which nursing response to the client is correct? 1. "I will check your serum level to see if it was too high and the reason for the reduction." 2. "This medication is gradually reduced and continued to prevent a relapse." 3. "I think that you should call your psychiatrist and ask to discontinue the Olanzapine." 4. "The 20 mg of Olanzapine is above the recommended dose and was reduced due to the risk of toxicity."
An older patient who was just diagnosed with a terminal disease states, "All my life I attended church, but I am still worried about what will happen after death." The nurse's best response is which of the following?
a. "The unknown may be frightening. Do you want to talk about this?" b. "Religious people know that God is a good God." c. "People that have had near death expe-riences say it is peaceful." d. "You must feel good about attending church most of your life."
Which instruction should the nurse give to the patient for the initial management of acute bursitis of the knee?
A) Apply heat to the affected joint. B) Gently exercise the affected joint. C) Take acetaminophen, as prescribed. D) Rest the joint.
Which intervention should the nurse use to help prevent a carotid artery rupture after radical neck dissection surgery?
A. Applying direct pressure to the carotid artery B. Keeping the carotid artery and the dressing wet with sterile saline C. Maintaining the stability of the position of the laryngectomy tube D. Assessing the adequacy of blood flow with a Doppler every 2 hours