A patient was admitted 48 hours ago for injuries sustained while intoxicated. The patient is shaky, irritable, anxious, and diaphoretic. The pulse rate is 130 beats per minute. The patient shouts, "Snakes are crawling on my bed. I've got to get out of here." What is the most accurate assessment of the situation? The patient:
A) is attempting to obtain attention by manipulating staff. B) may have sustained a head injury before admission. C) has symptoms of alcohol withdrawal delirium. D) is having a recurrence of an acute psychosis.
To gather information about a patient's home and work surroundings,the nurse will need to utilize which method of data collection?
A) Carefully review laboratory results. B) Conduct the physical assessment before collecting subjective information. C) Document a thorough nursing health history. D) Prolong the termination phase of the interview.
The nurse is completing a medication history for the surgical patient in preadmission testing. Which medication should the nurse instruct the patient to hold (discontinue) in preparation for surgery according to protocol?
A) Warfarin B) Vitamin C C) Prednisone D) Acetaminophen