A teen is brought to the emergency room by a parent. The assessment reveals that the client has been acting strangely for past 3 hours and is hypervigilant, grandiose, and irritable. Vital signs indicate hypertension, tachycardia, and arrhythmias
The teen may have ingested: A) Alcohol.
B) Crack.
C) Cocaine.
D) Amphetamines.
D
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A nurse cares for a client who has a new colostomy. Which action should the nurse take?
a. Empty the pouch frequently to remove excess gas collection. b. Change the ostomy pouch and wafer every morning. c. Allow the pouch to completely fill with stool prior to emptying it. d. Use surgical tape to secure the pouch and prevent leakage.
Which milestone is developmentally appropriate for a 2-month-old infant?
a. Pulled to a sitting position, head lag is absent. b. Pulled to a sitting position, the infant is able to support the head when the trunk is lifted. c. The infant can lift his or her head from the prone position and briefly hold the head erect. d. In the prone position, the infant is fully able to support and hold the head in a straight line.
Where does the nurse find tubing factor information?
What will be an ideal response?
A nurse is reviewing an exercise prescription for a person. Which of the following aspects should be included?
a. Frequency of exercise b. Intensity level of exercise c. Time and duration of exercise d. Type of exercise e. All of the above