A client is exhibiting dysfunctional grieving. When obtaining a health history, the nurse would expect which assessment finding to be noted?
A) Stupor
B) Hostility
C) Euphoria
D) Calmness
Ans: B
Clinical features of dysfunctional grief include expressions of distress or denial of the loss, changes in eating and sleeping patterns, and mood disturbances such as anger, hostility, and crying. The other options would not necessarily occur in a client with dysfunctional grieving.
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An older adult patient who is taking metformin (Glucophage) has just been seen in the clinic. The doctor has ordered metoprolol (Toprol) for angina. What assessment data should the nurse monitor due to this drug combination?
A) Blood pressure B) Blood glucose C) Heart rate D) Intake and output
The nurse is providing postpartum care for a client who gave birth by cesarean section several hours ago. Which interventions are appropriate for this client within the first 48 hours after birth?
Select all that apply. A) Antihypertensives as prescribed B) Frequent assessment of serum electrolytes C) Oxygen 2 liters nasal cannula as prescribed D) Seizure precautions E) Vital sign assessment every 4 hours
Which nursing diagnosis is likely to be of highest priority when developing a nursing care plan for a client?
a. Impaired memory c. Diarrhea b. Ineffective denial d. Social isolation
Which drug would the nurse expect might be prescribed for a patient who has neuropathic pain that is described as dull, aching, or throbbing pain?
a. carbamazepine c. corticosteroid b. phenytoin d. amitriptyline hy-drochloride