A client is having vivid hallucinations and does not turn to face the nurse when called by name. The client is trembling and appears frightened and agitated. What should the nurse do at this time?
A) Take the client's vital signs.
B) Tell the client that his fear is unrealistic.
C) Take the client to watch television in the day room.
D) Explore the content of the hallucinations.
D
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A 72-year-old woman will be having total hip arthroplasty this morning to repair a fracture that she suffered in a recent fall. What patient teaching should the nurse prioritize during the preoperative phase of this patient's care?
A) The positioning that the patient will be asked to adopt postoperatively B) Strategies to maintain her nutritional status in the postoperative period C) Signs and symptoms of infiltration at the patient's intravenous site D) The effects of age-related changes on the healing process
The nursing instructor is discussing the concept of steady state with her first-semester nursing students. What would be the most complete statement to the students about this concept?
A) "The concept of steady state preserves life." B) "The mechanisms of steady state work to restore balance in the body." C) "This concept compensates for biologic and environmental attacks on the body." D) "Steady state is the same as adaptation."
Symptoms of glycosuria, polyuria, polydipsia, and ketoacidosis are indicative of which of these conditions?
a. gestational diabetes mellitus b. idiopathic diabetes mellitus c. impaired glucose tolerance d. non-insulin-dependent diabetes mellitus
A patient who had a thoracic aortic aneurysm repair has been progressing well for several days after the surgery, but today tells the nurse, "My toes and lower legs feel a little numb and tingly" What is the nurse's best first action?
a. Encourage the patient to do active range-of-motion exercises in bed. b. Help the patient get up, dangle the legs, and then ambulate. c. Assess extremities for sensation, movement, or pulse changes. d. Instruct unlicensed assistive personnel (UAP) to assist the patient in elevating the legs.