A patient is pacing the hall near the nurse’s station, swearing loudly. What would be an appropriate initial intervention for the nurse?

Please be quiet and sit down in this chair immediately.

I’d like to talk with you about how you’re feeling right now.

You must go to your room and try to control yourself.

What is going on?

Answer and Explanation

The Correct Answer is B

Choice A rationale
Telling the patient to be quiet and sit down immediately may seem like a quick solution, but it is not the most therapeutic response. This approach may come across as dismissive and authoritarian, which could escalate the patient’s agitation.
Choice B rationale
This is the most appropriate initial intervention. By expressing a desire to understand the patient’s feelings, the nurse opens up a line of communication and shows empathy. This can help de-escalate the situation and make the patient feel heard and understood.
Choice C rationale
Telling the patient to go to their room and control themselves can come across as dismissive and invalidating. It does not address the patient’s feelings or concerns and may escalate the situation.
Choice D rationale
Asking “What is going on?” is a good way to encourage the patient to express their feelings, but it may not be as effective as Choice B. The phrasing in Choice B is more direct and shows more empathy and concern for the patient’s emotional state.

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Correct Answer is A

Explanation

The correct answer is Choice A.

A patient who returned from a procedure after receiving general anesthesia and is aggressive and confused is experiencing delirium.

A. Are you taking any supplements? B. Have you noticed that your skin is dry? C. Have you experienced urgency to urinate? D. Have you noticed the need to urinate less often? .

Correct Answer is ["A","B","C"]

Explanation

Choice A rationale

Supplements can have a significant impact on lab values. For example, taking iron supplements can increase the level of iron in the blood, while taking vitamin D supplements can increase the level of calcium. Therefore, asking the client if they are taking any supplements can provide valuable information that can help interpret the lab results.

Choice B rationale

Dry skin can be a sign of various conditions that can affect lab values. For example, hypothyroidism can cause dry skin and can also cause changes in lab values such as increased TSH (thyroid-stimulating hormone) and decreased T4 (thyroxine)456. Therefore, asking the client if they have noticed that their skin is dry can provide valuable information that can help interpret the lab results.

Choice C rationale

Urgency to urinate can be a sign of various conditions that can affect lab values. For example, a urinary tract infection can cause urgency to urinate and can also cause changes in lab values such as increased white blood cells and bacteria in the urine. Therefore, asking the client if they have experienced urgency to urinate can provide valuable information that can help interpret the lab results.

Choice D rationale

The need to urinate less often can be a sign of various conditions that can affect lab values. For example, dehydration can cause a person to urinate less often and can also cause changes in lab values such as increased blood urea nitrogen (BUN) and creatinine. However, this symptom is not as specific or indicative as the others, and may not provide as much valuable information for interpreting the lab results.

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A patient is pacing the hall near the nurse’s station, swearing loudly. What would be an appropriate initial intervention for the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient returned from a procedure after receiving general anesthesia and is aggressive and confused. The nurse knows that the patient is experiencing:

Correct Answer is A

Explanation

The practical nurse (PN) reviews the lab values. What Questions can the PN ask the client based on the lab results? Select all that apply.

Correct Answer is ["A","B","C"]

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

What is an effective nursing intervention to help an angry patient manage their anger without resorting to violence?

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