The nurse is assessing a newly admitted client who has schizoaffective disorder. The nurse should assess the client's level of anxiety and reactions to stressful situations because this:
A) Can determine the client's outcomes following treatment.
B) May determine whether or not the client's mental competency is intact.
C) May be a predictor of the client's risk for a suicide attempt.
D) Can provide the nurse with information related to the client's social skills.
C
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The patient is a 92-year-old male, 5' 10" tall, weighs 170 lb, and has a creatinine clearance of 6 mL/min
diagnosed with a complicated urinary tract infection. Assume that the patient has impaired renal function. Ordered: Fortaz 500 mg IV q 12h. Is this a safe dose to administer? Write: safe or not safe.
The nurse is caring for a patient who has had an ileal conduit for several years. Which nursing action could be delegated to unlicensed assistive personnel (UAP)?
a. Change the ostomy appliance. b. Choose the appropriate ostomy bag. c. Monitor the appearance of the stoma. d. Assess for possible urinary tract infection (UTI).
The tympanic membrane thermometer is inserted:
a. Into the mouth b. Into the rectum c. Under the arm d. Into the ear
A client with obsessive-compulsive disorder who continually cleans her room with paper towels becomes enraged with her roommate for throwing the package of paper towels into the waste basket, begins to yell, and slaps the roommate. Which action would the nurse take first?
A. Restraining the client B. Filling out an incident report C. Removing both clients to safe locations D. Calling the hospital's risk-management department