The nurse admits a client for acute appendicitis. During th…
The nurse admits a client for acute appendicitis. During the admission interview, the client states, “Most days I drink one pint of vodka.” The nurse knows when is the most likely time for the client to develop alcohol withdrawal delirium?
Read DetailsA client is brought to the emergency department by a friend….
A client is brought to the emergency department by a friend. The client is agitated and screaming, “I can’t stop seeing things. Help me, I’m going crazy.” The friend reports the client taking lysergic acid diethylamide earlier in the day. It is most important for the nurse to take which action?
Read DetailsThe nurse prepares the client for surgery to remove a malign…
The nurse prepares the client for surgery to remove a malignant tumor from the large intestines. The client appears calm and relaxed and remarks to the nurse, “My health is fine. I really don’t think this tumor is cancer.” The nurse identifies that this statement is an example of which term?
Read DetailsThe ICU nurse just accepted report from the ER. The patient…
The ICU nurse just accepted report from the ER. The patient coming to ICU is a 55 year old male with chronic alcoholism. Family sent him to the ER after finding him in his home with progressive cognitive deterioration, ataxia, and ophthalmoplegia (abnormal eye movements). The ICU nurse knows the patient the patient is probably suffering from:
Read DetailsThe nurse provides care for a client scheduled for surgery. …
The nurse provides care for a client scheduled for surgery. The client reports drinking socially, but had a beer to relax the previous evening. During the preadmission interview, the client states, “I usually don’t sleep well and wake up at 4 am in the morning. Right now, I am anxious and shaking inside.” The client’s vital signs are temperature 100.0 F, pulse 120, respirations 24/min, and BP 130/90. Which conclusion does the nurse make?
Read Details