A client who is suicidal and is withdrawing from controlled substances continues to be agitated and disruptive. When a neuroleptic medication is ordered for agitation, you question its use because you know:
a. the client is a drug abuser and may be reacting this way to get a dose of drugs
b. all neuroleptics require metabolism through the liver, and drug abusers can't have neuroleptics
c. chemical restraint is regarded as unethical
d. the client has a right to die, if he or she so chooses
C
Because the client is withdrawing from controlled substances, the use of chemical restraint would be regarded as unethical. The use of chemical restraints could violate the treatment principle of the least restrictive alternative, as well as compromise the client's health as a result of a drug reaction. Other less restrictive options for behavioral control should be explored.
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In some health care facilities, the LPN/LVN is allowed to take telephone orders from a physician. What is one precaution the nurse must take when receiving a verbal order?
a. Write quickly b. Repeat the order to the physician c. Have another nurse listen on an extension d. Sign and initial the physician's name on the order
While performing an admission assessment on a moderately anemic client, the nurse would expect to find a history of
a. blurred vision. b. cardiac palpitations. c. increased appetite. d. warm, flushing sensations.
An older adult man has been diagnosed as having diminished depth perception. What does the nurse expect him to have difficulty with in his everyday activities?
a. Judging the height of steps. b. Reading small print on food labels. c. Reading street signs. d. Seeing in dim light.
Based on school-aged cognitive development, which teaching technique could you anticipate as being received the best?
A) Using containers of water to demonstrate how hemorrhage leads to decreased body fluid B) Asking children to conceptualize the effect of falling blood pressure C) Asking children to think through "what if" situations and blood pressure D) Explaining elevated and decreased blood pressure as a concept