The nurse is seeing several patients in the outpatient clinic today. Which patient most requires the nurse's immediate attention?
A. A female patient with BPD who takes valproic acid [Depakene] and who reports nausea and vomiting
B. A male patient with BPD who takes lithium and who has a lithium level of 1.6 mEq/L
C. A male patient with depression who takes fluoxetine [Prozac] and who reports sexual dysfunction
D. A female patient with schizophrenia who takes haloperidol [Haldol] and who has a blood pressure of 102/72 mm Hg
Answer: B. A male patient with BPD who takes lithium and who has a lithium level of 1.6 mEq/L
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Which of the following responses is most helpful to the client when in an emergency situation?
A) A response by the cardiovascular system B) A response by the sympathetic nervous system C) A response by the central nervous system D) A response by the musculoskeletal system
A patient has developed a wound infection following a transmetatarsal foot amputation. The patient's wound has been producing copious amounts of exudate in recent days, necessitating several dressing changes each day
Which of the following wound care interventions may be indicated in the treatment of this patient's wound? A) Negative pressure wound therapy B) Hyperbaric oxygen therapy C) Débridement D) A collagen dressing
A client has a peripherally inserted central catheter (PICC) line and the primary nurse is updating the care plan. For which common complications does the nurse assess? (Select all that apply.)
a. Phlebitis b. Pneumothorax c. Thrombophlebitis d. Excessive bleeding e. Extravasation
Which is the priority nursing intervention for a 6-month-old infant hospitalized with diarrhea and dehydration?
a. Estimating insensible fluid loss b. Collecting urine for culture and sensitivity c. Palpating the posterior fontanel d. Measuring the infant's weight