A patient reports hearing noises when alone in a quiet room. What action should the nurse take?
A. Document that the patient has a mental illness.
B. Explain to the patient that this is not unusual.
C. Make sure the patient is referred to a psychiatrist.
D. Ask if the patient experiences any visual disturbances.
Answer: D
You might also like to view...
Why is it important for the nurse to demonstrate competence when caring for a client undergoing cardiac surgery?
A) To acknowledge the client's emotion B) To encourage verbal conversation C) To relieve the client's insecurity and anxiety D) To encourage the client to communicate
Increased serum iron levels can result from
a. chronic diseases. c. iron deficiency. b. hemolytic anemia. d. severe physiological stress.
A new mother expresses fear to the nurse about changing her baby's diaper after he is circumcised. What information does this mother need to safely take care of the baby when she gets home?
a. Cleanse the penis gently with water and put petroleum jelly around the glans after each diaper change. b. Cleanse the penis with prepackaged diaper wipes every 3 to 4 hours. c. Wash off the yellow exudate that forms on the glans at least once every day to prevent infection. d. Put constant pressure on the penis, if bleeding is noted, and check the site again in 2 hours.
Examples of vasoconstrictors used to treat shock include all of the following except
1. propranolol (Inderal). 2. dobutamine (Dobutrex) 3. norepinephrine (Levophed). 4. phenylephrine (Neo-synephrine).