A 13-year-old client was admitted for giving a younger sister a black eye and throwing a cat out the window. Which neurotransmitter imbalance is not likely to be associated with this behavior?
1. Dopamine excess
2. Serotonin deficit
3. Gamma-aminobutyric acid (GABA) deficit
4. Acetylcholine excess
4
Rationale: Aggressive behavior is associated with deficits of acetylcholine, serotonin, GABA, and an excess of dopamine.
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A patient's abdomen is bulging and stretched in appearance. The nurse should describe this finding as:
a. Obese. b. Herniated. c. Scaphoid. d. Protuberant.
The nurse is preparing to monitor intracranial pressure (ICP) with a fluid-filled monitoring system. The nurse understands which principles and/or components to be essential when implementing ICP monitoring? (Select all that apply.)
a. Use of a heparin flush solution b. Manually flushing the device "prn" c. Recording ICP as a "mean" value d. Use of a pressurized flush system e. Zero referencing the transducer system
A client is being treated for an intestinal obstruction with a Cantor tube. What nursing intervention is most appropriate at this time?
A. Reposition the client every 2 hours to assist with advancement of the tube. B. Tape the Cantor tube to the client's nose to prevent dislodgement. C. Instill normal saline into the Cantor tube to keep it patent. D. Withdraw 10 mL of air if drainage from the tube stops.
A patient requires digital removal of a fecal impaction. Which action should the nurse perform before beginning this procedure?
a. Administer large-volume tap water enemas until clear. b. Assist the patient into the dorsal recum-bent position. c. Check for an order from the healthcare provider. d. Delegate the procedure to nursing assistive personnel (NAP).