Careful assessment for changes in attitude and suicidal gestures should be monitored in a client taking which medication?
a. Lithium
b. Ativan (lorazepam)
c. Librium (chlordiazepoxide)
d. Paxil (paroxetine)
D
Clients taking Paxil (an antidepressant) should be assessed for changes in attitudes and suicidal gestures. All other medications are antianxiety agents.
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A nurse performs a skin screening for a client who has numerous skin lesions. Which lesion does the nurse evaluate first?
a. Beige freckles on the backs of both hands b. Irregular blue mole with white specks on the lower leg c. Large cluster of pustules in the right axilla d. Thick, reddened papules covered by white scales
The physician has ordered 500 mL NS to run over 6 hours with a drop factor of 20 gtt/mL. What is the correct IV flow rate to set on the infusion pump?
A) 27 gtt/min B) 28 gtt/min C) 83 mL/hr D) 84 mL/hr
Prior to discharge you determine whether a new mother knows the aseptic method for infant formula and equipment sterilization. Which comment by the mother would indicate that further clarification is needed? (Select all that apply.)
a. "I should wash the equipment in soap and water and place it in a large pan or sterilizer." b. "I should boil the equipment for at least 15 minutes." c. "I can use cold tap water for mixing the formula." d. "When I remove the equipment, I should use tongs." e. " I should mix the formula in the sterilized pitcher." f. "Once I have prepared the formula I should pour it into the bottles, apply lids, and store it in the refrigerator."
Which secondary skin lesion is a linear break in the skin with well-defined borders that may extend into the dermis?
1) Fissure 2) Erosion 3) Excoriation 4) Keloid