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a young woman receiving chemotherapy for a brain tumor suddenly becomes angry and irritable with the staff. when the nurse tries to administer the pt’s medications, the pt throws a tray across the room and curses. Which of the following actions by the nurse is most appropriate? a. ask another nurse to administer the medication b. leave the room, promising to return when the pt gains control c. remain with the pt and call for help d. restrain the pt and call for help
c. remain with the pt and call for help
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The correct answer is A. You should never leave a new admit until the patient knows how to call for help
Which of the following things should you do to familiarize a new client with his or her surroundings? A. Show the client where the call light is and how to work it. B. Tell the client not to operate the TV. C. Ask visitors to leave the room while you finish admitting the client. D. Raise the side rails of the bed and raise the bed to high position
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Quote ”They can be important for school supervisors who are at crossings or playgrounds who may need to call for help quickly.”
Obringer, S. John and Coffey Kent. ”Cell Phones in American High Schools: A National Survey.” The Journal of Technology Studies. 2009: n. pag. Web. 14 May. 2014
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A client has a platelet count of 9800/mm3. What action by the nurse is most appropriate? a. Assess the client for calf pain, warmth, and redness. b. Instruct the client to call for help to get out of bed. c. Obtain cultures as per the facility’s standing policy. d. Place the client on protective isolation precautions.
ANS: B A client with a platelet count this low is at high risk for serious bleeding episodes. To prevent injury, the client should be instructed to call for help prior to getting out of bed. Calf pain, warmth, and redness might indicate a deep vein thrombosis, not associated with low platelets. Cultures and isolation relate to low white cell counts.
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The nurse instructs a multipara who has just given birth to a large-for-gestational-age (LGA) infant how best to maintain a contracted uterus. Which statement indicates to the nurse that the teaching was effective? “If I start to bleed, I’ll call for help.” “I’ll massage my uterus regularly to keep it firm.” “If I urinate frequently, my uterus will stay contracted.” “I’ll call you every 15 minutes to massage my uterus.”
“I’ll massage my uterus regularly to keep it firm.” (The uterus responds rapidly to touch, and the mother may be involved in her own care. The uterus must be massaged before there are signs of bleeding. Although frequent urination may be beneficial, the client should be taught to massage the uterus to cause it to contract. Stating that she will call every 15 minutes to have her uterus massaged does not actively involve the mother in her own care and could be unsafe if the uterus becomes boggy during the 15-minute intervals.)
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A young woman receiving chemotherapy for a brain tumor suddenly becomes angry and irritable with the staff. When the nurse tries to administer the patient’s medications, the patient throws a tray across the room and curses. Which of the following actions by the nurse is MOST appropriate? 1) Ask another nurse to administer the medication 2) Leave the room, promising to return when the patient gains control 3) Remain with the patient and call for help 4) Restrain the patient and call for help.
3) Remain with the patient and call for help. Explanation 1) passing the buck; the nurse should handle the situation 2) never choose a “leave patient alone” option on the NCLEX exam, always remain with the agitated patient 3) CORRECT – patient’s violence is most likely due to increased intracranial pressure; the nurse should stay with the patient to help the patient regain control by talking in a calm, quiet manner, in addition, the nurse should summon help quickly to facilitate medical treatment, the physician must be notified. 4) patient will become more combative if restrained; stay with patient and speak in a calm, quiet manner
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Why did the Romans regard Carthage as a threat? a. The Carthaginian empire in Sicily and Spain was encroaching on Rome. b. Carthage was a Phoenician colony and could call for help from Lebanon. c. Carthage commanded the vast resources of Saharan Africa. d. The Carthaginians had already conquered Egypt, Palestine, and Syria. e. The Carthaginians had established an alliance with the Gauls and the Phoenicians against Rome.
a. The Carthaginian empire in Sicily and Spain was encroaching on Rome.
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