A patient is brought to the emergency department by friends, who say that he was using cocaine
The patient has a temperature of 106.2° F, an irregular heat rate of 122/minute, and ventricular dysrhythmias on the telemetry monitor. The nurse knows that with this degree of overdose, the next most likely clinical finding will be which of the following conditions?
a. Convulsions
b. Death
c. Hallucinations and tremors
d. Myocardial infarction
ANS: A
Severe overdose can produce hyperpyrexia, convulsions, ventricular dysrhythmias, and hemorrhagic stroke.
Death is not imminent based on the patient's clinical presentation.
Hallucinations and tremors are typically seen with mild overdose.
Angina and myocardial infarction may occur. Myocardial infarction typically precedes death. The patient's clinical presentation would make convulsions most likely at this time.
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a. Deviated septum b. Recessed chin c. Alcohol use d. Large neck e. Tonsillectomy
Patient surveys reveal that patients do not know which caregiver is the registered nurse (RN). A task force consisting of nursing staff is formed to develop a plan to address this issue
Many ideas are discussed to reinforce the role of the professional nurse and to make it easy for patients to recognize the RN, such as changing the dress code. Decisions resulting from this task force will mostly reflect the: a. goals. b. mission. c. subculture. d. values.
Which intervention would have the most therapeutic value for a patient who has just awakened after an ECT (electroconvulsive therapy) treatment and appears disoriented?
a. The nurse brings a family member into the recovery room to stay and talk with the patient until the patient is fully awake. b. The nurse touches the patient's hand and in a calming voice assures the patient, "Everything is fine; the treatment is over.". c. The nurse tells the patient that the treatment is over and shares, "You'll be a little confused but for only a very short time.". d. The nurse addresses the patient by name and states, "I'm your nurse here at the hospital. Your treatment is over and you're doing fine.".
Which is the primary reason for nursing intervention that focuses on the family as a system?
a. The identified client is not the sickest family member. b. The significant events that affect one family member also affect all other family members. c. The marital relationship is the axis around which all other family relationships are formed. d. Families need to understand and tolerate the problem of one of its members.