A patient has been brought to the emergency department by paramedics. The patient's known history and highly agitated state are suggestive of cocaine-induced psychosis
What assessment should the nurse prioritize prior to administering pharmacologic treatments? A) Assessment of blood glucose levels
B) Assessment of cranial nerve function
C) Lung auscultation
D) Cardiovascular assessment
D
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Cocaine intoxication carries a high risk for cardiac dysrhythmias. Consequently, cardiovascular assessment would be a priority over lung auscultation, assessment of cranial nerve function, or assessment of blood glucose levels.
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A nurse teaches a client who is recovering from acute pancreatitis. Which statements should the nurse include in this client's teaching? (Select all that apply.)
a. "Take a 20-minute walk at least 5 days each week." b. "Attend local Alcoholics Anonymous (AA) meetings weekly." c. "Choose whole grains rather than foods with simple sugars." d. "Use cooking spray when you cook rather than margarine or butter." e. "Stay away from milk and dairy products that contain lactose." f. "We can talk to your doctor about a prescription for nicotine patches."
A patient has these nursing diagnoses. Prioritize them, beginning with the highest priority
A. Social isolation B. Spiritual distress C. Self-care deficit syndrome
Physical restraints are only allowed when the patient is at risk to themselves or others. Which of the following does the nurse understand about the use of restraints?
a. Restraints are used to prevent a patient from pulling out his Foley catheter. b. Restraints are necessary to prevent the patient from getting out of bed. c. If restraints are necessary, the least restrictive must be used. d. The nurse must obtain an order to use restraints PRN.
Which of the following statements by the nurse reflect the use of therapeutic interaction techniques?
A) "You look upset. Would you like to talk about it?" B) "I'd like to know more about your children. Tell me about them." C) "I understand your husband passed away. I couldn't bear that." D) "You look very sad. How long have you been this way? Have you been taking care of yourself?"