A client diagnosed with borderline personality disorder tells the nurse that she "frequently spaces out." An appropriate response by the nurse is to say:
A) "Do you feel stressed most of the time?"
B) "Does this frighten you when it happens?"
C) "What's happening around you when this occurs?"
D) "Do you feel as if you are out of your body?"
A
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A nurse is addressing the prevention of esophageal cancer in response to a question posed by a participant in a health promotion workshop. What action has the greatest potential to prevent esophageal cancer?
A) Promotion of a nutrient-dense, low-fat diet B) Annual screening endoscopy for patients over 50 with a family history of esophageal cancer C) Early diagnosis and treatment of gastroesophageal reflux disease D) Adequate fluid intake and avoidance of spicy foods
If a person known to have type 1 diabetes is found unconscious and the nurse does not know the reason, it is best to:
a. administer regular insulin SC. b. administer intramuscular glucagon. c. wait until blood glucose test results have returned from the laboratory. d. administer four ounces of orange juice.
The client is being treated with warfarin sodium. She complains to the nurse of soreness in her mouth. The highest priority nursing intervention is to call the physician because the client is _____ the medication
a. beginning to hemorrhage from b. developing a clot from c. experiencing an expected side effect of d. experiencing an adverse reaction to
A 17-year-old client is admitted to the ED after being alternately hyperalert and difficult to arouse. His symptoms all started within the last few hours, during which time he became disori-ented and confused
His behavior was agitated and restless, and his memory was impaired, especially for recent events. The client displayed some delusions and misinterpretations of his surroundings. The nurse knows she needs to assess the client further for: 1. Dementia 2. Depression 3. Delirium 4. Amnesia