A long-time patient with schizophrenia in the inpatient unit has developed involuntary move-ments of his tongue. What has this patient developed?
a. Acute dystonic reaction
b. Tardive dyskinesia
c. Neuroleptic malignant syndrome
d. Laryngospasm
B
Tardive dyskinesia is a side effect of continued use of neuroleptic medications to control schi-zophrenia.
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One of the most effective ways to maintain clinical competence is to
A) seek frequent feedback from instructors who taught in your nursing program. B) keep a journal of patient encounters and interesting cases. C) consistently read work-related articles published in reputable journals. D) enrolled in college courses that focus on communication.
The nurse administers clopidogrel (Plavix) appropriately to the patient with what condition?
A) Maintaining the patency of grafts B) Treating peripheral artery disease C) Preventing emboli from valve replacements D) Dissolving a pulmonary embolus and improving oxygenation
Which statement concerning the pathophysiology of multiple sclerosis (MS) is true?
A. Poor cellular repair mechanisms support the proliferation of dysfunctional neu-rons. B. The autoimmune response causes damage to unmyelinated nerve fibers. C. Degeneration of axonal bodies interferes with signal transmission. D. Damage to the myelin sheath causes an inflammatory response.
The nurse is about to educate a 75-year-old patient on the side effects of a newly prescribed medication. The patient is both hearing and vision impaired. What should be the nurse's primary intervention?
1. Be sure that the patient has glasses on and functioning hearing aids during the discussion. 2. Arrange for the patient's room to be well lighted and quiet during the teaching session. 3. Provide a written explanation to supplement the discussion. 4. Ask that a family member be present during the teaching session.