A client exhibits confusion and severe memory loss. At 11:30 AM, he tells the nurse that he is going to work and proceeds to walk toward the door. Which of the following actions should be the nurse take
A. Remind him that he retired from his job 10 years ago.
B. Tell him that she’ll accompany him for a short walk outdoors.
C. Divert his attention toward the dining room where lunch is being served.
D. Tell him that he does not have to go to work today.
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Linda is a 19-year-old primipara who delivered a viable male neonate 2 hours ago. She has decided to breast-feed. Her 22-year-old husband supports her decision. She tells the nurse, "My mother breast-fed all of her children, but I’m going to need lots of help with breastfeeding. I’m worried that I won’t be able to do this. " Which of the following should the nurse include when assessing the client
A. Determine the client’s level of motivation to breast-feed.
B. Perform a complete physical examination to determine her need for help.
C. Assess her body-to-fat ratio and nutritional status before beginning breast-feeding.
D. Ask the client if she has read any literature about breast-feedin
The physician prescribes clomiphene citrate (Clomid) for a woman who has been having difficulty getting pregnant. When preparing the teaching plan for the client about this drug’s potential side effects, which of the following would the nurse include in the teaching plan
A. Increase in fibrocystic breast disease.
B. Increase in congenital anomalies.
C. Multiple pregnancies.
D. Increase in spontaneous abortions.
A client is prescribed Gentamycin (Garamycin) IV to treat infection. It is important to monitor the client for the development of which of the following side effects from the medication
Ascites.
B. Confusion.
C. Ototoxicity.
D. Cardiac dysrhythmias.
Directions: The question below is followed by six choices numbered 260-265. If a choice is correct, mark A in the space provided. If a choice is not correct, mark B. Blacken one circle on your answer sheet for each number. The nurse is explaining the Bill of Rights for psychiatric patients to a client who has voluntarily sought admission to an inpatient psychiatric facility. Which of the following rights should the nurse include in the discussion Right to a written treatment plan.