The nurse is talking with a patient who recently became paraplegic as a result of a cervical spinal cord injury
When discussing some of the equipment that will be needed at home, the patient becomes angry and says, "I don't need to worry about pressure ulcers." The best re-sponse by the nurse would be: 1. "I know you will be walking soon, but you may need some equipment until then."
2. "There is very little chance that you will ever walk."
3. "Tell me what it is about this equipment that bothers you."
4. "Let me call the physician to come explain your injuries to you."
3
The nurse should use therapeutic communication techniques to explore the patient's feelings.
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A patient, newly diagnosed with Parkinson's disease, has been prescribed an anticholinergic drug. What common adverse effect of anticholinergic agents used for the treatment of Parkinson's disease will the nurse share with the patient?
A) Blood dyscrasias B) Diaphoresis C) Memory loss D) Diarrhea
When assessing a patient, the nurse notes that the patient has an unnatural paleness of color to the skin. The nurse should document this finding as:
a. skin pallor. b. pruritus. c. sallow skin. d. jaundice.
The family of a client with schizophrenia who has been stable for a year reports to the community
mental health nurse that the client reports feeling tense and having difficulty concentrating. He sleeps only 3 to 4 hours nightly and has begun to talk about "volmers" hiding in the warehouse where he works and undoing his work each night. The nurse can correctly assess this information as an indication of a. medication noncompliance. b. the need for psychoeducation. c. chronic deterioration. d. relapse.
A patient is brought to the emergency department by friends, who say that he was using cocaine
The patient has a temperature of 106.2° F, an irregular heat rate of 122/minute, and ventricular dysrhythmias on the telemetry monitor. The nurse knows that with this degree of overdose, the next most likely clinical finding will be which of the following conditions? a. Convulsions b. Death c. Hallucinations and tremors d. Myocardial infarction