Falls are particularly dangerous for someone in this patient's situation
Why?
• Patients with liver disease are at high risk for subdural hematoma because of a lack of clotting
factors or inadequate vitamin K. Even mild trauma can lead to an intracranial bleed that can have
either a rapid or a delayed effect, resulting in an increase in intracranial pressure (ICP) that can be
lethal.
• Chronic alcoholism causes atrophy of the cerebral cortex and widening of the sulci on the surface
of the brain, which predisposes the patient to subdural hematoma and allows blood to collect
without S/S for days to weeks.
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The nurse is observing the interaction between a mother and schizophrenic son. The son states, "The person visiting me said you went on vacation without me." The mother replied, "There is no man, you are just making that up
" When interacting with the mother privately, which reply from the mother would the nurse suggest? A) "I am not on vacation. I am here with you." B) "How can I go on vacation. I do not have any money." C) "Stop saying that. You know better. No one told you that." D) "Just forget about that and let's talk about something else."
The nurse teaches a patient who has asthma about peak flow meter use. Which action by the patient indicates that teaching was successful?
a. The patient inhales rapidly through the peak flow meter mouthpiece. b. The patient takes montelukast (Singulair) for peak flows in the red zone. c. The patient calls the health care provider when the peak flow is in the green zone. d. The patient uses albuterol (Proventil) metered dose inhaler (MDI) for peak flows in the yellow zone.
The primigravida has been pushing for three hours, and the fetus is making slow descent. The partner asks the nurse if pushing for this long is normal. How should the nurse respond?
A. "Your baby is taking a little longer than average, but is making progress." B. "First babies take a long time to be born; the next baby will be easier." C. "The birth would go faster if you had taken prenatal classes and practiced." D. "Every baby is different; there really are no norms for labor and birth."
When the therapeutic level of digoxin increases due to a drug to drug interaction, the result can be_____________.?
A) myocardial infarctions B) irregular heart rhythms C) sudden blood clotting D) increased blood volume