Your patient is diagnosed with delirium. He is awake most of the night and becomes increasingly confused. Which is the best initial intervention?
A.
Keep the television on to provide stimulation.
B.
Give him a sleeping pill.
C.
Keep a night light on in the room and turn off the television.
D.
Keep the lights on in the room.
ANS: C
Reducing stimulating sounds and providing some light to keep him oriented to his surroundings is the best initial intervention. A sleeping pill can add to confusion.
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The nurse is caring for a patient with increased intracranial pressure (ICP). The patient has a nursing diagnosis of Ineffective cerebral tissue perfusion. What would be an expected outcome that the nurse would document for this diagnosis?
A) Copes with sensory deprivation. B) Registers normal body temperature. C) Pays attention to grooming. D) Obeys commands with appropriate motor responses.
A client is prescribed a 1600-calorie diet. Of this diet, 30% of the intake should be protein, 20% fat, and 50% carbohydrates. How many grams of carbohydrates should the client ingest every day?
What will be an ideal response?
Since 1960, the number of people aged 85 and older has risen at a higher percentage than those who are over 65
Indicate whether the statement is true or false
The pediatric nurse is conducting an information session for parents regarding genetic alterations in children. Which comments by the parents of a child with a cleft palate indicate learning occurred during the session? Select all that apply
A) "I can't believe that it is because of my genes that our child has this disorder." B) "Our child will need to be counseled when reaching adulthood since the risk for passing along the gene that causes cleft palate is increased." C) "While I'm not sure what they are, I know that environmental factors have likely played a role in our child's cleft palate." D) "I wish we had genetic testing before having children. We might have felt a little more prepared for the possibility of disorders in our children." E) "This makes it almost certain that if we have more children they will have cleft palate as well."