What symptom is a nurse assessing by asking, "Do you receive special messages from certain sources such as the television or radio?"
A) Thought insertion
B) Mind reading
C) Magical thinking
D) Delusions of reference
D
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A patient is being admitted to the floor following a motor vehicle accident. Because of the stressful nature of the event, the nurse anticipates the patient will continue to have a sympathetic stress reaction during the postoperative period
When monitoring the patient's serum electrolytes, what will the nurse closely monitor? A) Increased calcium B) Decreased potassium C) Increased chloride D) Decreased sodium
A pregnant woman's biophysical profile score is 8 . She asks the nurse to explain the re-sults. The nurse's best response is:
a. "The test results are within normal limits." b. "Immediate delivery by cesarean birth is being considered." c. "Further testing will be performed to determine the meaning of this score." d. "An obstetric specialist will evaluate the results of this profile and, within the next week, will inform you of your options regarding delivery."
When caring for the patient with AIDS who has cutaneous Kaposi's sarcoma, the nurse would report signs of:
1. nausea. 2. fatigue. 3. abdominal pain. 4. weight loss.
The nurse is teaching a client who had a liver transplant to observe for signs of rejection. The client's understanding is verified when what sign is listed?
a. nausea and vomiting c. fever b. altered mental status d. weight loss