Which assessment finding would indicate that a patient is experiencing neuroleptic malignant syndrome (NMS)?
1) Insomnia
2) Diaphoresis
3) Bradycardia
4) Hypotension
ANS: 2
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A nurse is to administer sulfasalazine to a client with ulcerative colitis. Which of the following interventions would be most important while caring for this client?
A) Stop dosage if skin turns orange-yellow color. B) Regularly inspect client's stool samples. C) Give the drug on an empty stomach. D) Administer cranberry juice to the client.
An 81-year-old patient of a subacute geriatric medical unit has become incontinent of stool over the past several days. This development has coincided with a decline in the patient's cognition as a result of severe Alzheimer's disease
In light of the patient's fecal incontinence, what nursing diagnosis should the nurse prioritize when planning this patient's care? A) Altered role performance related to fecal incontinence B) Altered nutrition, less than body requirements related to fecal incontinence C) Situational low self-esteem related to fecal incontinence D) Impaired skin integrity related to fecal incontinence
It is important for nurses to be critical thinkers because:
a. All clients are unique and have individual needs and differences b. All nursing actions are based on theoretical knowledge c. Nurses choose their actions primarily by following professional guidelines d. Nurses provide care based on individual client preferences
Which of the following cause an acute hemolytic transfusion reaction? Select all that apply
1. Nurse's error when checking the blood 2. ABO incompatibility of the donor and recipient 3. WBC incompatibility 4. Recipient's sensitivity to foreign plasma proteins 5. Contaminated blood