A client is taking tetracycline for acne. It is a drug known to cause photosensitivity. To avoid phototoxicity, the nurse provides client teaching. Which statement by the client indicates a need for more teaching?
a. "I need to avoid excessive sunlight."
b. "I need to use sunscreen when I go out during the day."
c. "I need to wear protective clothing over exposed skin areas in sunlight."
d. "I can stay in the sun for only about 4 hours a day."
ANS: D
Four hours would be too long to be exposed, especially during peak sunlight times.
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When reviewing the use of alcohol by older adults, the nurse notes that older adults have several characteristics that can increase the risk of alcohol use. Which would increase the bioavailability of alcohol in the blood for longer periods in the older a
a. Increased muscle mass b. Decreased liver and kidney functioning c. Decreased blood pressure d. Increased cardiac output
Assessment data for a 9-year-old shows blurting out answers before a question is complete, inability to take turns, and persistently interrupting conversations of others. These behaviors relate primarily to:
a. hyperactivity. b. impulsivity. c. inattention. d. defiance.
A woman is brought to the hospital after having been badly beaten. She is withdrawn and does not want to talk with anyone. She is thought to have a schizoid personality disorder
Which response(s) would likely be most useful for working with this patient? (Select all that apply.) a. To establish a therapeutic relationship, be especially friendly and nice. b. Explain clearly what to expect while assessing, and treat any injuries per routine. c. Address their delusional thinking or paranoia as you would in schizophrenia. d. Try to inject a bit of humor into the situation to relieve tension and anxiety. e. Connect the patient with her support system to help her deal with the trauma. f. Anticipate a somewhat detached response to the trauma and responders.
Which nursing diagnosis is expected to be appropriate for a patient who has a positive Romberg test?
a. Acute pain b. Risk for falls c. Acute confusion d. Ineffective thermoregulation