Which of the following is the most appropriate nursing intervention for a patient with schizophrenia?
A) Teach the patient about the illness
B) Maintain consistency with the patient's plan of care
C) Insist that the patient participate in all activities provided on the unit
D) Allow the patient time to listen to the radio alone in his or her room
B
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A 33-year-old female patient with a recent history of visual disturbances and dysphagia has just been diagnosed with myasthenia gravis
The nurse should recognize that this patient's health problem is ultimately attributable to what pathophysiological process? A) Idiopathic overproduction of anticholinesterase B) Autoimmune destruction of acetylcholine receptors C) Demyelination of parasympathetic nerve pathways D) Deficient synthesis of dopamine by the substantia nigra
The nurse is reviewing maternal serum alpha-fetoprotein (MSAFP) results. Which conditions are associated with elevated levels of MSAFP? (Select all that apply.)
a. Fetal demise b. Neural tube defects c. Abdominal wall defects d. Chromosomal trisomies e. Gestational trophoblastic disease
The nurse is reviewing information received in report for a group of patients. Which patient should the nurse assess first?
1. patient with occasional chest pain who has recently been diagnosed with gallbladder disease 2. older patient with heart failure who was admitted with increasing edema of the lower extremities 3. newly admitted patient complaining of substernal chest pain and whose father died recently from heart disease 4. patient complaining of chest pain and hyperventilating after a family member leaves the room following an argument
A primary care NP sees a patient who is being treated for heart failure with digoxin, a loop diuretic, and an ACE inhibitor. The patient reports having nausea. The NP notes a heart rate of 60 beats per minute and a blood pressure of 100/60 mm Hg
The NP should: a. decrease the dose of the diuretic to prevent further dehydration. b. obtain a serum potassium level to assess for hyperkalemia. c. hold the ACE inhibitor until the patient's blood pressure stabilizes. d. obtain a digoxin level before the patient takes the next dose of digoxin.