Which nursing intervention would be most appropriate when caring for an acutely agitated client with paranoia?
A. Provide neon lights and soft music.
B. Maintain continual eye contact throughout the interview.
C. Use therapeutic touch to increase trust and rapport.
D. Provide personal space to respect the client's boundaries.
D
The most appropriate nursing intervention is to provide personal space to respect the client's boundaries. Providing personal space may serve to reduce anxiety and thus reduce the client's risk for violence.
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A home care client with a leg wound is unable to climb stairs to the second floor, where the bathtub is located. Which is the nurse's best intervention?
a. "I'll show you how to use a syringe to cleanse the wound." b. "It is not necessary to clean this wound because it is not infected." c. "You can use the kitchen sink and clean tap water for this purpose." d. "You will have to come to the hospital each day for hydrotherapy."
Order: loxapine (Loxitane) 75 mg, IM, daily Available: How many milliliters (mL) will the patient receive?
What will be an ideal response?
A nurse is employed as a nurse epidemiologist. Which of the following activities would most likely be completed by the nurse?
a. Eliciting the health history of a client presenting with an illness b. Evaluating the number of clients presenting with similar diseases c. Performing a physical examination of an ill client d. Providing treatment and health education to a client with a disease
The nurse is taking care of a 7-year-old child with herpes simplex virus (type 1 or 2). Which prescribed medication should the nurse expect to be included in the treatment plan?
a. Corticosteroids b. Oral griseofulvin c. Oral antiviral agent d. Topical and/or systemic antibiotic