The client requires a nasal decongestant and tells the nurse that she is very interested in using herbal remedies
She has been using peppermint as an herbal decongestant. The nurse's most accurate interpretation of this is that peppermint __________ nasal decongestant.
a. can be effectively used as an herbal
b. is usually ineffective when used as a
c. can cause an anaphylactic reaction when used as a
d. can cause fatality when used as a
ANS: A
Peppermint can be safely used as an herbal nasal decongestant.
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A terminally ill patient has requested a "do not resuscitate" (DNR) order. The family of the patient is strongly opposed to the patient's request. What is the responsibility of the nurse?
A) Perform a "slow code" until a decision is made. B) Honor the request of the patient. C) Contact a lawyer to intervene. D) Terminate nursing care until the physician talks to the family.
From the use of the confusion assessment method (CAM)-ICU assessment tool, a patient is found to have hypoactive delirium. Which nursing intervention is indicated?
1. Use the prn order for morphine to control the patient's pain. 2. Use wrist restraints to maintain monitoring devices and lines. 3. Restrict visitors to times when the patient's mentation is clearest. 4. Reorient the patient to the environment as needed.
Identify the nursing action that best prevents autonomic dysreflexia in a client with a spinal cord injury
a. Giving the client his PRN dose of oxaze-pam (Serax) before the muscle spasms begin b. Maintaining the patency of the Foley ca-theter c. Keeping the client in the sitting position as much as possible d. Monitoring the client's electrolyte levels
The nurse is planning an initial therapy session with a 20-year-old patient whose parents had alcoholism. The nurse anticipates that the patient would most likely exhibit symptoms of which of the following?
A) Delusions B) Paranoid delusions C) Low self-concept D) Extroversion