A patient with acute mania is dancing atop the pool table in the recreation room. The patient waves a cue in one hand and says, "I'll throw the pool balls if anyone comes near me." The nurse's first intervention is to:
a. tell the patient, "You need to be secluded."
b. clear the room of all other patients.
c. help the patient down from the table.
d. assemble a show of force.
ANS: B
Safety is of primary importance. Once other patients are out of the room, a plan for managing this patient can be implemented.
You might also like to view...
In caring for a patient with a thyrotoxic crisis, the nurse would expect neurologic symptoms such as
a. lethargy. c. seizures. b. depression. d. agitation.
While evaluating the effectiveness of a drug administered to an older client 1 hour ago the nurse notes that the client is confused and disoriented. What should the nurse conclude about this observation?
1. Expected response to the drug 2. Client is demonstrating normal aging confusion. 3. This might be an effect of polypharmacy. 4. The client has a fever.
At which time should the nurse screen a pregnant woman for group B streptococcus infection?
A) 16 weeks' gestation B) 28 week' gestation C) 32 weeks' gestation D) 36 weeks' gestation
The nurse understands that which statement refers to obstructive peripheral vascular disease (PVD)?
a. It is best treated with nicotinic acid derivatives. b. It is also known as Raynaud's phenomenon. c. It is not responsive to the action of peripheral vasodilators. d. It can usually be controlled by the use of papaverine.