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The nurse in the psychiatric unit is administering medications when a client with borderline personality disorder approaches and asks to talk. The nurse suggests having a talk in 1 hour. The client shouts, "I'll wait, but you will be sorry!" and then picks up a pitcher of water and throws it onto the floor. Which of the following actions should the nurse take?
The nurse is caring for a client with epilepsy who is being treated with carbamazepine (Tegretol). Which laboratory value might indicate a serious side effect of this drug?
The nurse is teaching newborn care to a childbirth preparation class and describes the need for administering antibiotic ointment into the eyes of the newborn. An expectant father asks, "What type of disease causes infections in babies that can be prevented by using this ointment?" Which response by the nurse is accurate?
A client with a history of abusing barbiturates abruptly stops taking the medication. Barbiturates create a sedative effect, so when the client stops taking barbiturates, he will experience symptoms of withdrawal such as tachycardia, diarrhea, and tachypnea. The nurse should give priority to assessing the client for which of the following?
The nurse is caring for a client receiving amphotericin B. Which of the following findings indicates that the client has experienced toxicity to this drug?
When administering magnesium sulfate to a client with preeclampsia, the nurse understands that this drug is given to:
A patient is receiving an aminoglycoside (such as gentamicin, tobramycin, or neomycin) for treatment of infection. The nurse notes that the patient reports muscle aches and cramping during the infusion. What should the nurse do?
A client is to receive Dilantin (phenytoin) via a nasogastric (NG) tube. When giving the medication, the nurse should:
The nurse at a health fair is talking with a client who is in perimenopause and is experiencing hot flashes. Which of the following lifestyle modifications would be appropriate for the nurse to recommend?
The nurse is caring for a client following a laryngectomy. The nurse can best help the client with communication by:
A client has signs of increased intracranial pressure. Which one of the following is an early indicator of deterioration in the client's condition?
A 2-year-old is admitted for repair of a fractured femur and is placed in Bryant's traction. Which finding by the nurse indicates that the traction is working properly?
Which of the following symptoms is most common in a client with a duodenal ulcer?
Why does cachexia and loss of muscle mass often accompany COPD?
Agua has just returned to the nursing unit following a surgical repair of a cleft lip located on the right side of the lip. The nurse places the infant in which most appropriate position?
Your neighbor's husband comes to talk to you. He says his wife has not left the house in 2 weeks, has a flat mood, and has lost interest in her usual activities. You recognize these as the primary symptoms of:
The nurse is caring for a client with a diagnosis of hepatitis who is experiencing pruritus (itching) related to jaundice. Which nursing action would best help relieve the client's itching?
A nurse is assessing a client with anemia. Which of the following clinical manifestations would be most indicative of the anemia?
A client with glomerulonephritis is placed on a low-sodium diet. Which of the following snacks is suitable for the client with low-sodium restrictions?
A client with a history of diverticulitis complains of abdominal pain, fever, and diarrhea. Which food is most likely responsible for aggravating the client's symptoms?