A college student has brought his hallucinating roommate to the college clinic. The young man says his roommate has been experimenting with phencyclidine (PCP). The nurse recognizes that the hallucinations may last as long as:
a. 30 to 60 minutes.
b. 1 to 4 hours.
c. 4 to 6 hours.
d. 6 to 12 hours.
D
Some hallucinogenic effects of PCP can last 6 to 12 hours.
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The nurse assesses a major burn as a _____-thickness burn involving _____% or more of the body surface
ANS:
A client diagnosed with Alzheimer disease has a catastrophic reaction during an activity involving simultaneous music playing and a craft project
The client starts shouting, "No! No! No!" and runs from the room. Which action by the nurse is the most appropriate? A) Administer a PRN anti-anxiety medication and restrict the client's activity participation. B) Intervene one-on-one with the client until the client is calm, and then redirect the client to another activity such as Bingo. C) Discontinue the activity program because it is upsetting the client. D) Follow the client, reassure the client one-on-one, and then redirect the client to a quiet activity.
As part of a first prenatal visit, the nurse records a pregnant woman's obstetric history
She has an 18-month-old daughter who was delivered two days after her estimated date of delivery and a 3-year-old son who was born at 35 weeks' gestation. Before her son was born, she lost two pregnancies: one at 12 weeks and the other at 21 weeks. Using the GTPAL method, how should the nurse record this history? A) G5 T1 P2 A1 L2 B) G4 T1 P1 A2 L2 C) G5 T2 P2 A1 L1 D) G4 T1 P2 A2 L2
Which of the following statements is true for the client who receives general or regional anaesthesia in an ambulatory surgery centre?
a. This client has to meet identified criteria to be discharged home. b. This client will remain in the phase I recovery area longer than will a hospitalized client. c. This client is allowed to ambulate as soon as being admitted to the recovery area. d. This client is immediately given liberal amounts of fluid to promote the excretion of the anaesthesia.