A client taking risperidone (Risperdal) for schizophrenia is experiencing signs of hypotension with certain activities. Which information should the nurse provide the client?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. Avoid being outside in the heat of the day.
B. Avoid hot baths or hot showers.
C. Avoid vitamin C-containing preparations.
D. Change positions slowly, especially from lying or sitting to standing.
E. Take frequent naps during the day.
Answer: D
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The nursing student observes a staff nurse changing her behavior around a client. Signs that might be observed as professional boundary violations include: Standard Text: Select all that apply
1. The nurse calls the client by his or her first name 2. The nurse shares personal information with the client 3. The nurse touches the client without a therapeutic purpose 4. The nurse spends the same amount of time with this client as with other clients 5. The nurse reports receiving gifts from this client
A patient is in the emergency department being treated for an ischemic stroke. What is the nursing priority of care?
A) Refer for rehabilitation care B) Initiate fibrinolysis within 3 hours C) Initiate intravenous glucose therapy D) Administer 100% oxygen by mask
A patient presents to the ED stating she was in a boating accident about 3 hours ago. Now the patient has complaints of headache, fatigue, and the feeling that he "just can't breathe enough."
The nurse notes that the patient is restless and tachycardic with an elevated blood pressure. This patient may be in the early stages of what respiratory problem? A) Pneumoconiosis B) Pleural effusion C) Acute respiratory failure D) Pneumonia
Appropriate nursing interventions for the application of erythromycin ophthalmic ointment (Ilotycin) include which of the following?
1. Massaging eyelids gently following application 2. Irrigating eyes after instillation 3. Using a syringe to apply ointment 4. Instillation is in the upper conjunctival surface of each eye