What are the essential nursing assessments for a resident who has recently been started on a tricyclic antidepressant?
a. Respiratory status
b. Pulse rate and rhythm
c. Orthostatic hypotension
d. Therapeutic blood levels
C
A resident's blood pressure often decreases when he or she changes positions after being started on a psychotropic medication. Responses A and B, both vital signs, are important to monitor on all residents but are usually not affected by psychotropic medications. Therapeutic blood levels (response D) are not drawn until approximately 1 month after starting the medication.
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A physician asks a nurse to witness a consent form the patient has already signed, even though the nurse did not see the patient sign the form. The best action by the nurse is to
a. ask the patient if the signature on the form is his or hers. b. refuse because the nurse did not witness the signing. c. tell the physician the consent cannot be witnessed now. d. write "consent procedure witnessed" on the consent.
The nurse tells the schizophrenic patient "it's time to go to bed." The patient responds with "it's time for bed, it's time for bed, it's time for bed." The patient's response is an example of ____________________
ANS:
Which statement best describes the evaluation process?
a. It is a critical-thinking activity. b. It can be either subjective or objective. c. It involves simply answering questions. d. Nurses compare patient outcomes with patient skills.
When starting an IV on a 9 year old, the nurse knows it is important to:
1. Answer any questions. 2. Give the child a task to do for the IV, such as preparing the tape. 3. Allow time for the child to express how he/she feels about getting an IV. 4. All of the above are important when starting an IV on the child. 5. 2 and 3 are important when starting an IV on the child.