A new nurse is diligently caring for her clients by trying to remember everything she should be doing. However, one of the clients develops a "sudden" complication and another nurse steps in to help
After discussing the situation with her mentor, what is it determined that possibly occurred?
A) Did not pick up on subtle laboratory changes
B) Prioritized clients incorrectly
C) Did not understand the client's disease
D) Misinterpreted laboratory results
A
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A patient with a history of resolved substance abuse and who has been pacing, disorganized, mumbling to himself, trembling, and intrusive has just been given 10 mg of PRN intramuscular diazepam (Valium) after responding threateningly to a peer who
asked him to lend him money. Important nursing interventions at this point include: (Select all that apply.) a. Teach the patient about side effects and the importance of using the medication as prescribed. b. Monitor the patient's vital signs and behavior to determine his response to the medication. c. Stay with the patient to provide reassurance and support, and provide for any safety needs that might develop. d. Support the long-term use of benzodiazepine medications to assure that his disorder is adequately treated. e. Advise the patient to avoid salty foods or other sources of high levels of sodium while taking benzodiazepines. f. Discourage the patient from stimulating activities or substances such as basketball or caffeine.
A nurse assesses that a client with a history of violent outbursts is growing increasingly agitated and is pacing steadily up and down the hall. What should the nurse do first?
A) Leave the client alone to continue to pace. B) Call the client by name, walk with him, and ask him to tell you what he is feeling and thinking. C) Call for backup and give the client an IM injection to calm him down. D) Tell the client to stop pacing because it is frightening others on the unit.
The family of a dying patient in the intensive care unit does not want a "do not attempt resuscitation" order
What can the nurse do to assist the family in seeing the value of this order? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Explain that other medical interventions will not be stopped. 2. Explain that comfort is the goal instead of a cure. 3. Explain that the patient will not receive less care. 4. Explain that the patient will be transferred out of the intensive care unit soon. 5. Explain that all medical care will be restricted going forward.
________ drugs interfere with malignant cell replication or reproduction.
Fill in the blank(s) with the appropriate word(s).