Of the patients the nurse will see at the mental health center, which one should be assessed most carefully for EPSEs?
a. 59-year-old man with severe mental illness for 20 years; takes olanzapine (Zyprexa)
b. 18-year-old woman with a first episode of schizophrenia; takes haloperidol (Haldol)
c. 26-year-old man with generalized anxiety disorder; takes lorazepam (Ativan)
d. 30-year-old woman with depression; takes amitriptyline (Elavil)
B
Risk factors for EPSEs include female gender, first episode of schizophrenia, and use of a traditional antipsychotic medication. The other patients are at lower or no risk because of taking an atypical antipsychotic, a tricyclic antidepressant, and an antianxiety drug. Men are at lower risk.
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A patient comes to the emergency department after a boxing match, and his left eye is swollen almost shut. He has bruises on his face and neck. He says he is worried because he "can't see well" from his left eye. The physician suspects retinal damage
The nurse recognizes that signs of retinal detachment include: a. Loss of central vision. b. Shadow or diminished vision in one quadrant or one half of the visual field. c. Loss of peripheral vision. d. Sudden loss of pupillary constriction and accommodation.
A nurse is conducting a medication resolution of a new resident of a care facility and notes that the woman has been taking neostigmine. The nurse should recognize that the woman may have a history of what health problem?
A) Alzheimer disease B) Parkinson disease C) Myasthenia gravis D) Multiple sclerosis
According to Zuzelo's, (2007) research that explored the distress of registered nurses, one high frequency event that generated distress among nurses was
a. working with unsafe staffing levels b. following orders for unnecessary diagnostic tests and therapies c. carrying out family preferences for client care although nurses disagreed with the plan d. providing life support for clients due to family preferences, although the clients had poor prognoses
The nurse is admitting a client who is scheduled for a valvular annuloplasty. The client asks why she needs her valve replaced. What are the most appropriate responses? Select all that apply
1. "You are not having the valve replaced; you are having the fibrous ring at the junction of the valve leaflets and the muscular wall repaired.". 2. "Have you asked your surgeon this question?" 3. "You are having your valve replaced because it is diseased.". 4. "Due to valve stenosis, the valve leaflets must be separated.". 5. "Your family has been informed of the procedure.".