The nurse in a long-term care facility is taking patients to the dining room for lunch. She asks the patient who has been diagnosed with delirium if she is ready to go eat lunch. When the patient doesn't respond, the nurse should:
1. take the patient by the arm and lead her to the dining room.
2. assist the patient to bed and bring her lunch to her.
3. tell the patient that she can go to the dining room whenever she gets hungry.
4. ask the patient again if she is ready to go eat lunch.
4
The patient with delirium may have difficulty focusing or paying attention and questions often must be repeated several times.
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A 35-year-old new mother returns to the clinic for her 6-week postpartum check. When discussing questions regarding the patient's sexual health the nurse should do which of the following?
a. Assume that permission to discuss sexuality issues is implied. b. Seek knowledge about sexual health in general. c. Make therapeutic suggestions early and adjust as needed. d. Refer the patient to a professional with advanced training if necessary.
The nurse anticipates that the patient with iron deficiency anemia will have red cells that are:
a. normochromic and normocytic. b. hypochromic and microcytic. c. hyperchromic and macrocytic. d. normochromic and microcytic.
A client requests help to stop smoking. Which of the following methods would be the best for the nurse to suggest to the client?
a. A combination of interventions, beginning with changing the environment b. Acupuncture to reduce the nicotine cravings c. Behavior modification through hypnosis d. Nicotine replacement products
The nurse examines a client and assesses a temporal artery that is hard, thick, and tender with absent pulsations. The nurse would gather additional information related to which area?
A) Mental status B) Hearing C) Neurologic status D) Vision