The nurse explains that neuroleptic drugs such as chlorpromazine (Thorazine) are very effective in treating positive symptoms of schizophrenia by: (Select all that apply.)
a. stopping hallucinations.
b. stimulating effective interpersonal rela-tionships.
c. enabling organized thought.
d. increasing activity level.
e. eliminating delusional systems.
A, C, E
Hallucinations, disorganized thought, and delusional systems are the positive symptoms that re-spond to neuroleptics. Negative symptoms such as withdrawal and inactivity do not respond well to these drugs.
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The patient's vital signs such as increasing blood pressure, increasing heart rate and grimacing are the best indications that a patient has postoperative pain. When the nurse sees these signs it is time to initiate the PACU acute pain relief policy
Indicate whether this statement is true or false.
A patient who had recent abdominal surgery is becoming increasingly agitated and confused. He has pulled out his IV and his nasogastric tube. His skin is pale and clammy, heart rate 120 bpm, BP 130/60. The physician has been called. What nursing action is
a. Gather needed supplies and assign the aide to remain with the patient. b. Stay with the patient and have another nurse obtain needed supplies. c. Administer pain medication and then recheck vital signs. d. Assign the aide to retake vital signs every 15 minutes.
Which of the following is an example of a dependent nursing intervention?
1. Repositioning the client every 2 hours 2. Assisting the client with transfers to the bathroom 3. Providing ongoing physical assessment, especially of the incisional sites 4. Administering medications for pain
Using the rule of nines, if an adult patient has each arm and hand burned, as well as his anterior trunk, the total body surface area (TBSA) burned is
A) 30%. B) 36%. C) 18%. D) 27%.