The nurse is caring for a patient with dementia who becomes agitated every evening. Which intervention by the nurse is best for calming this patient?
a. Encouraging family members to visit only during the day
b. Applying wrist restraints during periods of agitation
c. Playing soft, calming music during the evening
d. Administering lorazepam (a tranquilizer)
ANS: C
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A nurse is conducting a health interview on a newly admitted patient. To establish a trusting relationship with the patient, the nurse:
a. avoids eye contact to appear less threatening. b. demonstrates professionalism by not smiling. c. sits close and leans in slightly toward the patient. d. speaks in a slow rate of speech and low tone.
Which of the following should the nurse recommend to a client with a bruised ankle to initially relieve pain associated with the injury and reduce localized swelling?
A) Acupuncture B) Percutaneous electrical nerve stimulation (PENS) C) Transcutaneous electrical nerve stimulation (TENS) D) Applications of heat and cold
A mother of a premature newborn questions why a gavage feeding catheter is placed in the mouth of the newborn and not in the nose. The nurse's best response is:
1. "Most newborns are nose breathers." 2. "The tube will elicit the sucking reflex." 3. "A smaller catheter is preferred for feedings." 4. "Most newborns are mouth breathers."
A child with cerebral palsy has undergone surgery for placement of a baclofen pump. Which instruction would the nurse include when teaching the parents about caring for their child?
A) Waiting 48 hours before allowing the child to take a tub bath B) Not allowing the child to sleep on his side for about 4 weeks C) Calling the physician if the child's temperature is over 100.5°F D) Discouraging the child from stretching or bending forward for 4 weeks