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Clients maintain the right to informed consent even when involuntarily committed. Neuroleptic malignant syndrome A medical emergency characterized by high fever, muscle rigidity, Discussing patient information in public violates HIPAA and confidentiality

The nurse notes the presence of a P wave, QRS complex, flattened T waves, and occasional U waves on a client's cardiac The nurse should suspect Your Answer: hypokalemiaCorrect Answer: hypokalemia because of the Your Answer: flattened T waves and occasional U wavesCorrect Answer: flattened T waves and occasional U waves Rationale:Cardiac changes in hypokalemia include impaired repolarization, resulting in a flattening of the T wave and eventually monitor screen. Fill in the correct miss...

The nurse is assessing the level of consciousness in a client with C. Chart the client's level of consciousness as coma. a head injury who has been unresponsive for the last 8 hours. Using the Glasgow Coma Scale, the nurse notes that the client Rationale:The client has a score of 6 (eye opening to pain=2; veropens the eyes only as a response to pain, responds with sounds bal response, incomprehensible sounds=2, best motor response, that are not understandable, and has abnormal extension of...

What does the nurse teach a patient with osteomalacia (aka Ricketts) to include in the daily diet? Vitamin D Osteomalacia causes softening of the bone due to the decrease in vitamin D in the body. The patient with osteomalacia should include vitamin D in the diet because it promotes the absorption of calcium and phosphorus from the small intestine. The bone accounts for 99% of the calcium and 90% of the phosphorus in the body

Which of the following treatment team statements are congruent with the text's definition and description of psychopharmacology? (Select all that apply.) 1."We consider the client holistically when prescribing a pharmaceutical regimen." 2."We aim for behavior control through the sedating effects of the medications." 3. "Pharmacologic intervention makes other therapies possible." 4. "The psychiatric-mental health nurse's responsibilities include pharmacologic ex...

Which factor increases the risk of developing leukemia? (Select all that apply.) Obesity Cigarette smoking Previous cancer treatment Excessive caffeine ingestion Diagnosis of Down syndrome A client with chronic myeloid leukemia (CML) is admitted to a clinic. The nurse understands the client is least likely to be part of which demographic group? Male Younger than 20 years Female Older than 65 years

2. Uterine tenderness 2. Obtain equipment for a manual pelvic examination. 1. Delivery of the fetus 2. The client has a history of cardiac disease 1.Hypotonic 2. Support the mother in her reaction to the newborn infant 4. Persistent nonreassuring fetal heart rate The nurse is assessing a pregnant client in the second trimester of pregnancy who was admitted to the maternity unit with a suspected diagnosis of abruptio placentae.Which assessment finding should the nurse expect to note if t...

A nurse is caring for a client in labor. The nurse determines that the client is beginning in the 2nd stage of labor when which of the following assessments is noted? 1.The client begins to expel clear vaginal fluid 2.The contractions are regular 3.The membranes have ruptured 4.The cervix is dilated completely 4. The second stage of labor begins when the cervix is dilated completely and ends with the birth of the neonate.

How does your immune system know which cells to attack and which cells are part of your own body? The nurse is planning discharge teaching for a client who has a splenectomy.Which statement does the nurse include in this client's teaching plan? a. "Avoid crowds and people who are sick." b."Do not eat raw fruits or vegetables." c. "Avoid environmental allergens." d. "Do not play contact sports." The nurse notes that the client has a "left shift of their wbc ...

a client allergic to bee stings was stung about 20 minutes ago at a picnic. based on the assessment data, the nurse anticipates which immediate actions? select all that apply A.) inhaled albuterol B.) intramuscular epinephrine C.) intravenous methylprednisone D.) intravenous metoprolol E.) intravenous nitroglycerin the nurse is caring for a client with scleroderma. which assessment finding indicates the most serious complication of the disease and requires priority intervention A.) abru...

Which components are able to change to adapt to small increases in intracranial pressure (ICP) (select all that apply)? a. Blood d. Scalp tissue b. Skull bone e. Cerebrospinal fluid (CSF) c. Brain tissue The cerebral perfusion pressure (CPP) is the pressure needed to ensure blood flow to the brain. Normal CPP is 60 to 100 mm Hg. Calculate the CPP of a patient whose blood pressure (BP) is 106/52 mm Hg and ICP is 14 mm Hg. mm Hg

A client is noted to have a type I (IgE-mediated) hypersensitivity reaction with a systemic response. Which clinical manifestation should the nurse anticipate? (Select all that apply) A. Allergic rhinitis B. Stridor C.Wheezing D. Urticaria E. Hypotension Which hypersensitivity reaction releases enzymes that increase tissue damage? A. Type III B. Type IV C. Type I D.Type II Which is the nurse'

A medication that reduces serum ammonia levels by promoting its excretion via the stool. A method of feeding that bypasses the gastrointestinal tract, providing nutrition directly into the bloodstream. Hepatic Encephalopathy A decline in brain function that occurs as a result of severe liver Stools that are black and sticky, indicating upper GI bleeding, which is a potential emergency. New onset crackles in the lungs, indicating possible fluid overload or infection. Dietary Adjustment in...

In evaluating a young woman, the following laboratory result the nurse recognizes as abnormal is a. hemoglobin 13 g/dl. b. platelet count 20,000/mm3. c. red blood cell count 5 million/mm3. d. white blood cell count 6000/mm3. ANS: B ANS: B Normal platelet count is 150,000/mm3. A client has a hematocrit (Hct) of 30%.The nurse interprets this to mean a. 30% of the blood will be plasma and plasma products. ing disorders are possible. c. the blood is viscous and concentrated. d. the ind...

In evaluating a young woman, the following laboratory result the nurse recognizes as abnormal is a. hemoglobin 13 g/dl. b. platelet count 20,000/mm3. c. red blood cell count 5 million/mm3. d. white blood cell count 6000/mm3. ANS: B ANS: B Normal platelet count is 150,000/mm3. A client has a hematocrit (Hct) of 30%.The nurse interprets this to mean a. 30% of the blood will be plasma and plasma products. ing disorders are possible. c. the blood is viscous and concentrated. d. the ind...

A patient with glaucoma reports sudden eye pain and loss of vision. What is the nurse's priority action? A. Reassess vision in 15 minutes. B. Administer prescribed eye drops. C. Notify the healthcare provider immediately. D. Document and continue monitoring. The nurse is delegating care for a client with a feeding tube. Which task is appropriate to assign to a UAP? A. Check the residual volume. B. Position the client with the head of bed elevated at least 30 degrees. C. Flush the feed...

A nurse mixes a short-acting and an intermediate-acting insulin in the same syringe to administer to a client with diabetes. List the actions in the order the nurse should perform them. A) Don a pair of clean gloves. B) Put air into the intermediate-acting insulin vial. C) Withdraw the prescribed amount of short-acting insulin. D) Put air into the short-acting insulin vial. E) Withdraw the prescribed amount of intermediate-acting insulin.

to be seen today.Which patient meets the diagnostic criteria for diabetes mellitus? a. A 48-year-old woman with a hemoglobin A1C of 8.4% b. A 58-year-old man with a fasting blood glucose of 111 mg/dL c. A 68-year-old woman with a random plasma glucose of 190 mg/dL d. A 78-year-old man with a 2-hour glucose tolerance plasma glucose of 184 mg/dL The nurse teaches a 38-year-old man who was recently diagnosed with type 1 diabetes mellitus about insulin administration. Which statement by the...

A 54-year-old patient admitted with diabetes mellitus, malnutrition, osteomyelitis, and alcohol abuse has a serum amylase level of 280 U/L and a serum lipase level of 310 U/L. To what diagnosis does the nurse attribute these findings? Malnutrition Osteomyelitis Alcohol abuse Diabetes mellitus Alcohol abuse The patient with alcohol abuse could develop pancreatitis as a complication, which would increase the serum amylase (normal 30-122 U/L) and serum lipase (normal 31-186 U/L) levels a...

The nurse is assessing a client diagnosed with cellulitis of the upper left arm.Which manifestation should the nurse anticipate finding with this client? (Select all that apply.) A. Swollen lymph glands B. Pustules with surrounding erythema C. Deep, firm, painful nodule D.Fever and chills E. Erythema The nurse is performing a health history for a new client in the clinic.Which should the nurse identify as a risk factor for cellulitis in an adult? (Select all that apply.) A. Peripheral...