One of the main goals of the therapeutic milieu for the patient confused by delirium or dementia is:
A) Improve the patient's interpersonal skills
B) Help the patient to feel "at home"
C) Help the staff to help the patient
D) Help the patient to see others' problems
A
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In order to evaluate the quality of client care in the hospital setting, the nurse manager may ask the nursing staff to:
1. Track the number of supplies used on surgical clients. 2. Document nursing time and tasks spent on direct client care. 3. Administer a client and family satisfaction survey. 4. Assess clients and report acuity to shift supervisors daily.
A nurse is teaching a client about the increased risk of heat prostration during the hot summer months related to his prescribed scopolamine therapy
The nurse determines that the teaching was successful when the client identifies which of the following as a sign of this condition? A) Dry mouth B) Fever C) Skin rash D) Urinary retention
A patient who usually takes metformin (Glucophage) was switched to insulin immediately following an angiogram. Which patient finding indicates it is safe for the patient to switch back to metformin?
a. 24-hour urine output greater than 2 L b. International normalized ratio is now less than 1.2 c. Weight is unchanged from that of 1 month ago d. Fasting blood glucose level was less than 90 mg/dL for 2 days in a row
A patient received a tuberculosis skin test injection of purified protein derivative (PPD) 72 hours ago. Which assessment finding of the test site does the nurse interpret as a positive reaction?
a. The injected area has a blister-like swelling about 2 mm high and 2 mm in di-ameter. b. The injection site is puffy and soft with pus oozing from the needle hole. c. The skin is red and very hard for 12 mm around the injection site. d. There is a large bruise surrounding the injection site.