A dying older patient has dyspnea, which causes anxiety. What action by the nurse is best?
a. Provide oxygen for a saturation less than 90%.
b. Provide a cool fan to blow on the patient.
c. Administer prescribed morphine sulfate.
d. Administer a prescribed bronchodilator.
C
Morphine sulfate is often used for dyspnea and has the added benefit of slight sedation, which will help this patient's anxiety. Providing oxygen based on saturations does nothing for the pa-tient's distress; the patient may feel short of breath, even with an oxygen saturation of 100%. A cool fan may help. There is no indication that the patient needs a bronchodilator. IF the patient has wheezing, this would be appropriate.
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A nurse and patient who developed a therapeutic relationship enter into the final phase of their relationship as the patient prepares for discharge. An important nursing intervention for this stage is for the nurse to
a. provide structure and intensive support. b. inform the patient of the progress made. c. encourage the patient to describe goals for change. d. discuss feelings about termination with the patient.
A client with a panic disorder has been prescribed a benzodiazepine medication. The nurse should instruct the client that one risk of a benzodiazepine medication is:
A) Diet restrictions. B) Dependence. C) Agitation. D) Fecal impactions.
0.6 ÷ 0.02 =
Fill in the blank(s) with the appropriate word(s).
For the client with receptive aphasia, which of the following nursing interventions is the most effective?
a. Providing the client with a letter chart to use to answer complex questions b. Using a system of simple gestures and repeated behaviours to communicate c. Offering the client a notepad to write questions and concerns d. Obtaining a referral for a speech therapist