An adolescent client tells the nurse that substance abuse would never be tolerated by his family. Which of the following would not be true about family roles?
a. They are expected behaviors of family members.
b. They provide the foundation for the children's future interactions as adults.
c. They are learned and transmitted within the family unit.
d. They are always strictly defined within any culture.
ANS: D
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The community health nurse is performing a home visit to an 84-year-old woman recovering from hip surgery
The nurse notes that the woman seems uncharacteristically confused and has dry mucous membranes. When asked about her fluid intake, the patient states, "I stop drinking water early in the day because it is just too difficult to get up during the night to go to the bathroom." What would be the nurse's best response? A) "I will need to have your medications adjusted so you will need to be readmitted to the hospital for a complete workup." B) "Limiting your fluids can create imbalances in your body that can result in confusion. Maybe we need to adjust the timing of your fluids." C) "It is normal to be a little confused following surgery, and it is safe not to urinate at night." D) "If you build up too much urine in your bladder, it can cause you to get confused, especially when your body is under stress. "
You prepare to administer a drug for heart failure to a patient. Which assessment finding do you report to the prescriber before administering the drug?
a. Systolic blood pressure increase from 128 to 136 b. Urine output of 2100 mL in 24 hours c. Weight gain of 1 lb in 3 days d. Heart rate of 54 beats/min
Drugs classified as hallucinogens include all EXCEPT which of the following?
a. benzodiazepines b. mescaline c. MDMA d. LSD
The nurse suspects that a patient is developing malignant hyperthermia. Arrange these interventions in the correct order of priority
1. Start dantrolene therapy 2. Identify any signs and symptoms that support this suspicion. 3. Control associated symptoms 4. Discontinue medication that may cause malignant hyperthermia. 5. Maintain intravenous dantrolene Standard Text: Click and drag the options below to move them up or down.