he nurse is caring for a patient with a history of violent behaviors. Which nursing interventions are most likely to prevent the patient from responding with aggressive or violent behavior? (Select all that apply.)
1. Address the patient's anxiety as needed.
2. Determine the patient's coping mechanisms.
3. Ensure the patient's needs are met in a timely manner.
4. Assess the patient's family history of violent behaviors.
5. Avoid intervention with the patient if the patient is displaying aggression.
1. Address the patient's anxiety as needed.
2. Determine the patient's coping mechanisms.
3. Ensure the patient's needs are met in a timely manner.
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During an assessment, the nurse asks a patient with low back pain what has been used to try to alleviate the pain. The nurse is asking questions to determine which category of the mnemonic OLD CART?
A) Treatments B) Duration C) Location D) Onset
The nurse examines the electrocardiogram (ECG) tracing of a client and notes tall T waves. What electrolyte imbalance should the nurse suspect?
a. Hypokalemia b. Hypophosphotemia c. Hyperkalemia d. Hypercalcemia
An older patient with Alzheimer's disease has a feeding tube. The family wants to know if the patient will ever be able to eat solid food again. What information should the nurse include when responding to this family's question?
1. The dietitian will decide if this can be done. 2. It depends upon the patient's functional eating abilities. 3. This can be done but the feeding tube has to be removed first. 4. In the patient with dementia, the restoration of natural feeding is highly unlikely.
The nurse reviews laboratory results for a client with cirrhosis and finds the following: hematocrit, 72%; blood urea nitrogen (BUN), 42 mg/dL; and sodium, 166 mEq/L. Which action by the nurse is most appropriate?
a. Check the client's blood pressure and pulse. b. Increase the client's oral fluid intake. c. Call the health care provider. d. Document the results in the chart.