Recognizing that a patient experiencing stress most likely feels vulnerable, the nurse intervenes by:
a. using technical language.
b. directing the conversation.
c. modifying communication methods.
d. offering all the information.
C
When the patient is experiencing stress, the nurse should modify communication methods.
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A client who has a heart murmur due to vegetative growth on the leaflets of the heart valves asks the nurse what caused this condition. The best reply is:
1. "Alcohol and nicotine abuse use over many years." 2. "A residual virus following a bout of childhood chickenpox." 3. "Strep throat or respiratory infection, resulting in rheumatic fever." 4. "Uncontrolled triglycerides and cholesterol."
Which of the following medication orders should a nurse question?
A) Meperidine (Demerol) IM 50 mg q 3 to 4 hours for a 23-year-old woman in labor with severe pain B) Fentanyl PO 1 mg q 4 hours for a 6-year-old in severe pain after surgery C) Hydrocodone (Lortab) PO 10 mg q 4 to 6 hours for a 54-year-old man who has moderate back pain D) Morphine (Roxanol) IM 30 mg q 4 hours for severe pain in a 36-year-old man who has been in a motor vehicle accident
Ten hours after admission to the ICU following an auto accident, a patient begins to exhibit mild tachycardia, irritability, and tremors. Three hours later the patient has a grand mal seizure. Which condition does the nurse suspect?
1. Wernicke encephalopathy 2. Korsakoff syndrome 3. Undetected internal bleeding 4. Alcohol withdrawal syndrome
In the Emergency Department waiting room, you notice a patient sitting, with his head in his hands, who has been waiting for about 5 hours for relief of his headache
When you approach him to ask him how he is doing, he says, "I can't believe that I have to wait this long for help! Do you know what it is like to be in pain for 10 hours?" Your response to him would be: a. "It is frustrating to wait when you are in pain and when you are expecting to re-ceive relief right away." b. "Don't talk to me. If you are going to be rude, then you will not receive treatment here." c. "We are very busy and don't have enough staff to deal with problems such as yours." d. "Perhaps you should go elsewhere. We do not have time for you here, as many more sick patients are waiting."