For which patient should you question the order for cyclobenzaprine (Flexeril)?
a. 25-year-old man with severe back spasms who also has epilepsy
b. 66-year-old man with spasms from collapsed vertebrae who also has prostate cancer
c. 45-year-old woman with muscles spasms and a broken femur who also has hypotension
d. 28-year-old woman with severe leg muscle spasms from a pinched nerve who is 7 months pregnant
ANS: A
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An older woman had hip replacement surgery 1 day ago, and the nurse thinks that the woman also has dementia. Which patient assessment does the nurse use to determine whether this wom-an is experiencing pain?
a. Holds abdomen tightly. c. Is not verbalizing. b. Has stable vital signs. d. Moves during sleep.
A patient has been newly diagnosed with heart failure (HF) and has come to the meet with the nurse at the clinic for health education. What lifestyle recommendation should the nurse provide to this patient when discussing dietary modifications?
A) "It's in your best interests to avoid excessive fluids and sodium in your diet." B) "Try to replace as many of the complex carbohydrates in your diet with simple sugars." C) "I'll teach you some good sources of potassium, which you should try to eat regularly." D) "Many people with HF find that small, frequent meals allow them to manage their diet effectively."
The nurse is caring for an adolescent client who seems overly concerned about her body image. Which statement about body image is most accurate?
a. Body image is a combination of a person's actual and perceived body. b. Perceptions of other persons have no influence on a person's body image. c. Physical changes are quickly incorporated into a person's body image. d. Body image refers only to the external appearance of a person's body.
A patient tried for the murder of a spouse and child was found guilty but mentally ill (GBMI)
A psychiatric nurse is asked, "Does that mean this patient will be walking the streets after a short hospitalization?" Which reply shows the best understanding of GBMI? a. "The patient will be hospitalized and released when no longer mentally ill.". b. "A person found guilty but mentally ill will be treated while serving the sentence.". c. "You sound as though you are angry with the way our criminal justice system works.". d. "It will depend on whether the American Law Institute's Test was applied or whether the Irresistible Impulse Test was used.".