A patron with bipolar disorder involves the health center and tells the nurse that she goes to kill
her sister the subsequent time she sees her. ANS: Inform the sister. What must the nurse do? A
businessman studies tension, insomnia, and monetary pressure. ANS: Avoid sugar and
caffeine. A client will become agitated whilst the nurse is speakme along with his wife. For three
days, she has no longer eaten. ANS: Move to a quiet room and provide PB crackers. What have
to the nurse do? ANS: Inform the client that nursing assignments are not based totally on
customer requests. The client will become upset while the nurse he requests is not assigned to
him. A consumer is available in after a automobile accident and is experiencing cardiac
dysrhythmias, alcohol withdrawal, and a magnesium level of one.1. ANS-Magnesium could be
your first recommendation. A patron comes inside the ED with DTs. What must the nurse first
do? - ANS: Give Ativan to the patient. A patron informs the nurse on the station that her
roommate reduce her wrists inside the rest room. What have to the nurse do subsequent after
assessing the injuries and dressing them? - ANS- Transfer the patient to a non-public room
close to the nurse's station. The nurse hears from a patron who has been identified with despair
that her husband desires her to "restore herself up" and put on fine clothes. The patron goes on
to say that she thinks her husband is interested in a different girl. What ought to the nurse say to
the patron? ANS-I will let you get prepared and shower before he comes over. A purchaser who
has schizophrenia has been refusing to take the medication orally for numerous days. The
consumer has broken a chair and is threatening to harm some other consumer with the
damaged chair leg. What should the nurse do first? - ANS-Remove the alternative customer
from the room
A purchaser in the institution is discussing prostitution. She is requested by way of the nurse
whether or not her dad and mom abused her. She asserts that when I turned into young, my
mom chased my father away. What kind of defense changed into installed area? -
ANS-Repression A consumer inside the dayroom tipped over a table, is escalating, and he or
she has picked up a chair and is threatening to throw it at some other customer. What should
the nurse begin with? - ANS-Go and seek additional assistance from body of workers A client is
harassed in an acute care medical institution putting. What elements would support a delirium
prognosis over dementia? - ANS-Delirium: started inside the sanatorium Friends tell a patron to
come in. Clients whinge approximately dropping his process, simply getting a divorce, and being
a unmarried dad with two children. What will be the most appropriate inquiry for the nurse to
make? ANS: What is most troubling you? Before a consumer can preserve along with her
morning, she wishes to scrub her palms for two hours. She doesnt need to sit on the chairs in
the dayroom for fear of having grimy. ANS-Compulsion: What is that this mechanism? The
emergency room gets an LSD user. How do you method the customer? - ANS- speak to the
patron calmly and lightly. ANS: administer Narcan to a patron who is taking meth and benzos.
What might the nurse do within the occasion of an overdose? A customer tells the nurse that he
has a worry of flying on an aircraft however needs to wait a piece-related assembly overseas
and will must fly to get there. What can the nurse do to help this patron? ANS: Tell him to