The nurse is receiving beginning-of-shift report. During report, it is communicated that a schizophrenic patient has been admitted to the unit displaying waxy flexibility. Which behavior can the nurse anticipate finding when assessing the patient?
a. Sitting and staring at the wall without speaking
b. Arranging self in several seated postures on the couch
c. Marching stiffly up and down the center of the dayroom
d. Holding his arm over his head with the fist clenched for 1 hour
D
The catatonic patient will exhibit a stuporous demeanor. It is associated with rigidity and unusual posturing. Waxy flexibility refers to maintaining a limb in one position for a long time.
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Which factor can contribute to a client developing sensory overload?
a. analgesics c. use of hearing aids b. family visitations d. invasive procedures
Quality planning establishes the design of a product, service, or process that will meet customer, business, and operational needs to produce the product before it is produced. Quality planning follows a universal sequence of steps
List the universal sequence of steps in order. a. Identify customers and target markets. b. Discover hidden and unmet customer needs. c. Develop a service or product that exceeds customers' needs. d. Transfer these designs to the organization and the operating forces to be carried out. e. Translate these needs into product or service requirements: a means to meet their needs. f. Develop the processes that will provide the service, or create the product, in the most effi-cient way.
The nurse is caring for a patient with a head injury involving cerebral edema and increased intracranial pressure (IICP). To prevent further transient increases from occurring, the nurse should implement what intervention?
1. Implement measures to help the patient avoid coughing and straining. 2. Position the patient in the supine position with the head of the bed at 30 degrees. 3. Initiate oxygen administration. 4. Initiate and monitor an IV with normal saline.
A patient's monitor strip shows an irregular rhythm. Which method of estimating the rate would be best for the nurse to use? The nurse should count the number of:
1. Small blocks between two consecutive R waves and divide by 1500 2. Large blocks between two consecutive R waves and divide by 300 3. QRS complexes in 6 seconds and multiply by 10 4. Large blocks in 3 seconds and multiply by 20