The most important nursing intervention is to: A. B. C. m. a sense of tradition. use a night light and turn off the television 3. Callers who refuse to identify themselves should:a. Which action should the nurse take first? 1. 4 Instruct the staff to chart. Quietly observe and hope that the doctor notices. Today the person shouts, "They're all plotting to destroy me. Select the best initial approach by the nurse. Your patient in the psychiatric unit is still up at midnight playing cards. At medication time, when the nurse is administering patient medication. c. 6. A strict diet should be followed avoiding all junk food and drinking water only. 62 year-old man who is scheduled for a cardiac cath, and is ready to be transported now b. c. , T/F you do not need to waste time introducing a new patient to others,. Keep the patient. Engage the client in a nonthreatening conversation. You are familiar with the patient and have cared for him in the past for unrelated problems. Administering a sedative is not the least restrictive intervention at this time. This weight is lost with the birth of the infant and the expulsion of the placenta and the amniotic fluid. b. escorts the patient to the operating room from preop holding. consistently sit with others for at least 30 minutes at meal time within 1 week. b. What priority intervention will the nurse apply?, While. }d. b. The nurse identifies that repetitive behavior in a client who has OCD is due to which of the following underlying reasons? a. B. What method of taking temp is the least accurate? axillary (underarm) normal adult pulse range. taking some respite time. Ms. nursing theory. Study with Quizlet and memorize flashcards containing terms like 1. The nurse should respond by taking which action? a. b. -presenting a bill. d. d. a nurse is assessing a client who has seizure disorder. Study with Quizlet and memorize flashcards containing terms like A patient has been on contact isolation for 4 days because of a hospital-acquired infection. The patient, feeling faint, abruptly left the customer and went to lie down in the back of the store. most patients will have low blood pressure and hyperglycemia. He then walks around a chair that is in the hallway several times before sitting down in the chair. What do you do?b. a. perseveration. Study with Quizlet and memorize flashcards containing terms like A client at 32 weeks gestation is admitted to the obstetric unit with a BP of 142/90 and 1+ proteinurea. Final Exam 4. It really isn't an appropriate way out of your troubles. c. Mental Health Hesi 2. February 1, 2022. A schizophrenic patient is aggressive and says, "I want to kill myself with a gun. Discuss stress management techniques. Ask the patient to describe the pain and find out if she has other complaints. Consulting the physician about the patient's refusal to take pills and changing his care. d. Lori Schiller, Amanda Bennett. B. False. At seventeen Lori Schiller was the perfect child -- the only daughter of an affluent, close-knit family. Study with Quizlet and memorize flashcards containing terms like Which statement is true concerning the anxious patient?, Mr. B. d. Express mild amusement over symptoms. amnestic syndrome. The nurse enters the room of a client with a cognitive impairment disorder and asks what day of the week it is; what the date, month, and year are; and where the client is. B. A client who has bipolar disorder and paces quickly around the room while talking to himself, A nurse decides to put a client who has a psychotic disorder in seclusion. A member of the group asks the nurse to describe a type of surgery that is curative. D. , For insurance processing purposes, what does the abbreviation CPT mean?, when writing a business letter, the. Select all that apply. 10-12 pounds is the usual initial weight loss. Which symptom reported by a family member might indicate this possibility?, The generation-to. patient advocacy. Ms. Ultimately, Schilling will emerge triumphant from her journey, which includes many stints, both voluntarily and. The nurse needs to speak with the client privately to ask about IPV. 1. 1. Another patient comes to the door of the room, interrupts, and says to the nurse, "I really need to talk to you. Verbal intervention is ineffective. Interview rooms for new patients or known assaultive patients should utilize a system which provides privacy but which may also permit other staff to see activity. Plot Structure. Wave Scheduling. a message (verbal and nonverbal), a source and a receiver b. B. Approximately 10 minutes later the patient's symptoms began to subside. Terms in this set (17) Seclusion. Study with Quizlet and memorize flashcards containing terms like A 38-year-old male with a history of schizophrenia is reported by neighbors to be screaming and throwing things in his house. Nursing measures to reduce sensory deprivation include: (Select all that apply. Study with Quizlet and memorize flashcards containing terms like You are dispatched to a local fast-food restaurant for a "nature unknown" call. buccal, transcutaneous, eye, subcutaneous C. d. He said he was told one individual could escort 10 workers. True. Study with Quizlet and memorize flashcards containing terms like Two hospitalized patients fight when they are in the same room. -looking after patients while they are waiting. If there is a disruption in the schedule and causes a patient to wait, explain the waiting time. Raise all four side-rails of the bed. Exposure therapyStudy with Quizlet and memorize flashcards containing terms like A nurse was preparing for a home visit to a family where the mother had just been discharged from trauma care after being hit by a drunk driver. If scheduling is poor or careless. Nagel arrives for his appointment. Ask answers that require a yes or no response to simplify the conversation. Study with Quizlet and memorize flashcards containing terms like Taking a substance by mouth is called: A. After the nurse has listened to the ill, he/she should also talk to him. drink six servings of a high-calorie, high-protein drink each day. ANS: B. All of the above, The age groups served by a pediatric dental practice include a. The nurse provides instruction to the client about interventions for hallucinations and anxiety and determines that the client understands the instruction if the client states: A. A patient who was responding to auditory hallucinations earlier in the morning now approaches the nurse shaking a fist and shouts, Back off! and then goes to the day room. Place him in a quiet area away from other patients. 1 / 7. After your first several sessions with Ad, he agrees to your turning on the lights in the room and opening the curtains. C. Decreasing fluids 2 to 4 hours before sleep reduces the likelihood that the older adult's sleep will be disrupted during the night by the need to void. C. Palpate the patient's abdomen for tenderness and guarding. Clearing others from the area or alerting security does not help the client regain control. Escort the client to a private area to complete the assessment. Upon assessment, the nurse notes a blood pressure of 80/60 mm Hg and a heart rate of 52. Advise patient to minimize exercise to conserve endorphins. the nurse finds nothing wrong with the child. a. The Quiet Room is the story of Lori Schiller, a young woman who suffers from schizophrenia and her attempts to cope with the disease. d. b. Adequate lighting The nurse should ensure adequate lighting in the room or location before moving patients from their rooms for teaching. any manual method, or mechanical device, material or equipment attached or adjacent to patients body where they cannot move their arms, legs body or head freely. Which roommate would be the most appropriate for this patient? a. pt who is demonstrating clang associations. normal range for adults respiration? 12-20 per. The circulating. Ad refuses to walk with you into the hall, however, and naps at intervals. c. c. Six years later she made her first. After the hospital has acknowledged their presence and given permission to begin the report, the NEXT sentence should be:, At the scene of a fireworks factory explosion, you. Which nursing intervention has priority? a. All team members. T. The client loudly denies the need for hospitalization. Advise patient to minimize exercise to conserve endorphins. To curtail further escalation and disruption, the client should be escorted to a less stimulating environment. c. -scheduling appointments. D. pt who is demonstrating clang associations. Central venous catheter's dressing is clean and dry 3. Green is a small quiet room. a. a. Escort the client to a private, low-stimulus room. 63 terms. Which would be the most appropriate location for the nurse to meet with this client? A. A. Encourage the patient to eat a. Escort the client to a quiet area and suggest using. Ms. -they are used to protect the health and. C. About Quizlet; How Quizlet works; Careers;a. A nurse passing out medication failed to check the armband of a patient and gave them another patient's medication, exceeding their limit of Acetaminophen for the rest of the shift. 3. Study with Quizlet and memorize flashcards containing terms like You have just received change of shift report. Tells the client to go to the quiet area of the unit. ANS: B. On assessment, the patient is found to be lethargic and unable to speak. 4. Review the unit rules with the. any manual method, physical or mechanical device, material, or equipment that immobilizes or reduces the ability of a patient to move his or her arms, legs, body, or head freely. C) It's important to be out of your room and talking to others. During surgery, the patient is administered ketamine as an anesthetic, with ranitidine. b. Which nursing intervention is most helpful to this client at this time?" A. The best intervention would be a. Study with Quizlet and memorize flashcards containing terms like Who should greet and escort the patient to the treatment room?, When turning on the dental light over a. You give the cart on the left a push to the right (that is, toward the other cart), exerting a constant 5. Give the patient a back rub. Use an approach similar to that for angry callers. Study with Quizlet and memorize flashcards containing terms like Rescuers are preparing a radio report to the receiving hospital of a 65-year-old male complaining of difficulty breathing. 12-15 pounds. Allow the patient to go to the bathroom since the onset of the medication will be more than 5 minutes. Study with Quizlet and memorize flashcards containing terms like 1. Reinforce use. When. block off several urgent and emergent slots during the day. utilization. He is unconscious and cyanotic. 2 mmol/L) [10%] 3. The patient reports nausea. A medical assistant should wash her hands _____. As the move-out date to leave the shelter gets closer, a battered wife states, "I'm afraid to leave here. a. False. excited delirium is worsened by nervous system depressant drugs. Study with Quizlet and memorize flashcards containing terms like If a patient tells the Patient Care Technician (PCT) that he does not want to get out of bed and the PCT tries to move him anyway, the PCT could be charged with _____. spread the patient's knees apart. Arrange for patient to spend time away from others. Rational: One major indicator of intimate partner violence is the hovering behavior of the abusive partner during a visit. If scheduling is poor or careless. Tell the man the client needs to go to the x-ray department. "Please don't consider suicide. Study with Quizlet and memorize flashcards containing terms like An elderly, tense patient is having trouble relaxing enough to sleep. The nurse is providing care for a patient with a terminal illness. 35 PaCO2: 26mmhg PaO2:95 HCO3: 22 a) PaCO2 b)pH c)HCO3 d)PaO2, 2) A nurse must position the patient prone after his diagnosis of acute respiratory. b. c. This check list should include?, One way to help the patient feel more comfortable and relaxed is to:, Team dentistry is also referred to as and more. The Medical Administrative Assistant should: Select one: A. Present options for resolution and ask if caller is agreeable to them. c.