What should the nurse do to decrease the patient's disorientation at night during the detoxification period?
a. Place the patient in a room with another recovering patient
b. Instruct the patient to orient himself to his surroundings at bedtime
c. Wake the patient up every 4 hours to eat a small snack
d. Use nightlights and remove extra furniture from the room
ANS: D
Use of nightlights and removing extra furniture that could be misidentified will reduce disorientation. The patient should not be woken up to eat, but if he is awake, small snacks can be offered. The nurse should orient the patient to his surroundings.
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The physician has ordered 30 mg of Demerol IM for relief of a severe migraine headache. The package insert reads meperidine hydrochloride (Demerol) 50 mg/mL. How many milliliters would the nurse administer?
A) 1.6 B) 1 C) 0.6 D) 0.5
The nurse is actively managing the intravenous fluid administration for a patient who has developed cardiogenic shock after a myocardial infarction
When performing this aspect of nursing care, what principle should guide the nurse's decision making? A) Adequate fluid resuscitation must be balanced against the risk of fluid overload. B) Intravenous fluid should be infused as quickly as possible in emergency treatment. C) In order to prevent increased afterload, the patient should not receive more than 125 mL of total intravenous fluid in 60 minutes. D) Temporary fluid restriction reduces cardiac workload and improves cardiac output.
Within a 15-minute period, a patient having a manic episode voices these complaints
"Dinner was cold. The bath towels are rough. The solarium is too hot. I have a sore throat. Another patient needs a shower. The medication nurse is too slow." The nurse should: a. listen but ignore the patient's complaints. b. tell the patient to use the suggestion box. c. assess the patient's throat, and take vital signs. d. invite the patient to share the concerns at the community meeting.
A woman gave birth last week to a fetus at 18 weeks' gestation after her first pregnancy. She is in the clinic for follow-up, and notices that her chart states she has had one abortion. The patient is upset over the use of this word
How can the nurse best explain this terminology to the patient? 1. "Abortion is the medical term for all pregnancies that end before 20 weeks." 2. "Abortion is the word we use when someone has miscarried." 3. "Abortion is how we label babies born in the second trimester." 4. "Abortion is what we call all babies who are born dead."