Which intervention will best assess a narcoleptic patient for a commonly recognized comorbid psychiatric disorder?
a. Observing for signs of self-mutilation
b. Observing the patient for ritualistic behaviors
c. Asking, "Do you consider yourself to be depressed?"
d. Asking, "Do you rely on alcohol to function socially?"
ANS: C
Research supports a link between insomnia and major depression.
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A night shift nurse is assuming a day shift nurse's assignment, which includes two clients whose pain is being controlled with oral hydrocodone (Lortab). At shift assessment, both clients complain of pain
During shift report, the day shift nurse reports that both clients had just received two hydrocodone (Loratab) tablets for pain. What action should the night shift nurse take? 1. Repeat the medication. 2. Inform the manager of the situation. 3. Call the physician to obtain an order for IV narcotics. 4. Tell the clients that pain medication will be given at the next ordered time.
The nurse assesses a K+ level of 6.2 mEq/L and becomes alert for the associated sign of (select all that apply):
1. pain on movement. 2. contractions of the hands. 3. twitching of muscles. 4. lethargy. 5. trembling of limbs.
Prazosin (Minipress) is prescribed for hypertensive client. Which measure should be used by the nurse to prevent the first-dose phenomenon?
1. Give the dosage early in the morning before breakfast. 2. Give initial low doses at bedtime. 3. Give the dosage with meals. 4. Give initial high dosage and then lower gradually.
The nurse is caring for a young woman who is newly diagnosed with genital warts. She states, "I heard you can get cancer from STDs. Is that true?" Which of the following responses by the nurse is correct?
a. "No, you cannot get cancer from STDs." b. "No, that is not true, but a diagnosis of cancer does increase the risk of contracting an STD." c. "Yes, most STDs can lead to cancerous changes if not treated promptly." d. "Yes, some STDs have been linked to cancer, so adequate treatment is very important."