Mental Health
The therapeutic approach in a therapy group that views all team members as equally important in helping the clients meet their goals.
What is MILIEU therapy
Salicylic acid is prescribed for a patient with a diagnosis of psoriasis. The nurse educates the patient on this potential symptom that is caused by systemic toxicity.
What is tinnitus?
The nurse in the postpartum unit is caring for a client who has just delivered a newborn infant following a pregnancy with placenta previa. The nurse reviews the plan of care and prepares to monitor the client for this risk associated with placenta previa.
What is hemorrhage?
A client with a chest injury has suffered a flail chest. The nurse assesses the client for this most distinguishable sign of flail chest.
What is paradoxical chest movement?
The nurse is caring for a patient with a nasogastric tube that is attached to low suction. The nurse monitors the patient for manifestations of this type of acid-base imbalance.
What is metabolic alkalosis?
Three findings the nurse should be aware of when assessing a patient for alcohol withdrawal delirium.
What is: Hypertension, changes in level of consciousness, hallucinations, delirium tremens, anxiety, insomnia, disorientation, agitation, fever, delusions, anorexia
The nurse is reviewing the history of a client with bladder cancer. The nurse knows to monitor this client for the most common sign or sign or symptom of this type of cancer.
What is hematuria?
The home care nurse is monitoring a pregnant client who is at risk for preeclampsia. At each home care visit for preeclampsia, the nurse knows this is the most important sign to monitor.
What is hypertension?
The nurse performs an admission assessment on a client with a diagnosis of tuberculosis. The nurse checks this diagnostic test result that will confirm the diagnosis.
What is a sputum culture?
(isolation of Mycobacterium tuberculosis)
A client with atrial fibrillation who is receiving maintenance therapy of warfarin sodium has a prothrombin time (PT) of 35 seconds. On the basis of the laboratory value, the nurse anticipates this regarding the next dose of the prescription.
What is hold the next dose?
Caused by long-term exposure to first and second-generation neuroleptics/anti-psychotics, this condition is characterized by a client moving her mouth, protruding her tongue, and grimacing as she watches television.
What is Tardive Dyskinesia
A daily dose of prednisone is prescribed for a client. The nurse provides instructions to the client of what time is best to take the medication.
What is in the morning?
A nonstress test is performed on a client who is pregnant, and the results indicate nonreactive findings. The Obstetrician prescribes a contraction stress test, and the results are documented as negative. The nurse documents this finding of the test result.
What is a normal contraction stress test result?
The nurse is watching the cardiac monitor and notices that a client's rhythm suddenly changes. There are no P waves, the QRS complexes are wide, and the ventricular rate is regular but more than 140 beats per minute. The determines that the client is experiencing this rhythm.
What ventricular tachycardia?
The nurse is conducting a dietary assessment on a client who is on a vegan diet. The nurse provides dietary teaching and should focus on foods high in this vitamin that may be lacking in a vegan diet.
What is Vitamin B12
A potential serious adverse reaction to the antidepressant bupropion (Wellbutrin).
What are seizures?
What is diarrhea?
The postpartum nurse is providing instructions to the mother of a newborn with hyperbilirubinemia who is being breast-fed. The nurse educates the mother to breast-feed her newborn this frequency.
What is every 2-4 hours?
A client with myocardial infarction suddenly becomes tachycardic, shows signs of air hunger, and begins coughing frothy, pink-tinged sputum. The nurse anticipates finding this breath sound upon auscultation.
What are crackles?
The nurse is giving report to the oncoming nurse during shift report for a client to be cared for in soft wrist restraints. The nurse receiving report knows it is required to check the patient's restraints and document no less than this time interval.
What is every 2 hours?
A client involved in a traumatic motor vehicle accident is admitted to a medical nursing unit has a diagnosis of acute blindness. All pertinent diagnostic testing cannot identify any organic cause for the blindness. The nurse plans care on this mental health disorder.
What is conversion disorder?
A client with diabetes mellitus is admitted to a surgical nursing unit post-operatively. Given the client's history of diabetes mellitus, the nurse knows this complication is the highest risk to monitor the client for post-surgery.
What is wound infection, wound separation, delayed wound healing?
A client arrives at the clinic for the first prenatal assessment. She tells the nurse that the first day of her last normal menstrual period was October 19, 2020. Using Naegele's rule, the nurse documents this expected due date in the client's chart.
What is July 26, 2021?
Subtract 3 months and add 7 days to the first day of the last menstrual period, and then add 1 year to that date.
Intravenous heparin therapy is prescribed for a client with atrial fibrillation. While implementing this prescription, the nurse ensures that this medication is available for the nursing unit if a reversal agent is required.
What is protamine sulfate?
A client with the diagnosis of asthma is admitted to the hospital with respiratory distress. The nurse anticipates the patient's breath sounds to be this type of adventitious breath sounds when performing a respiratory assessment.
What are wheezes?