A client who has hallucinations is no longer benefiting from medication. The client's wife has heard that repetitive transcranial magnetic stimulation (rTMS) might be helpful

The nurse knows that rTMS may be promising for this client because it: 1. Acts more quickly than electroconvulsive therapy (ECT).
2. Does not cause pain and, therefore, does not require anesthesia.
3. Acts more quickly than antipsychotic medications.
4. Has been around longer than ECT and has more research evidence for its use.


2
Rationale: As a therapy, rTMS is still experimental. The most promising beneficial effects of this experimental treatment are in clients with depression and hallucinating clients who are medication-resistant. There is no pain involved with rTMS, and no anesthesia is required. rTMS is not proven to act more quickly than antipsychotic medications or ECT. rTMS is still experimental and does not have more research evidence than ECT for its use.

Nursing

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The nurse is caring for a patient who has a displaced midshaft fracture of the left femur and is in balanced suspension skeletal traction with 35 pounds of weights. The patient reports calf pain with right foot dorsiflexion

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The student researcher is puzzled by the significance of key words while searching for research articles. What instruction, provided by the librarian, will help this student?

1. Keywords are listed in alphabetical order by authors' last names. 2. Keywords are listed in chronological order. 3. Keywords are listed in reverse chronological order. 4. Keywords are listed in order of relevance to the topic.

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To assess the apical pulse, the nurse should place the stethoscope on the:

a. third intercostal space to the right of the midclavicular line. b. fifth intercostal space to the left of the midclavicular line. c. sixth intercostal space at the midclavicular line. d. seventh intercostal space to the left of the midclavicular line.

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