A pregnant client was in an automobile accident, and presents to the labor suite from the Emergency Department after she presented at the ED with a deep gash on her forearm from the crash. The client was not wearing a seat belt, and was speeding
She now seems highly agitated, is pacing continuously, and is talking very rapidly. The nurse should suspect that this client has what type of psychological disorder? 1. Schizophrenia
2. Bipolar disorder, manic phase
3. Social anxiety disorder
4. Obsessive-compulsive disorder
2
Rationale:
1. Schizophrenia is characterized by withdrawal and altered perception of reality, often with hallucinations or delusions.
2. Agitation, constant movement, and rapid talking are symptoms of the manic phase of bipolar disorder.
3. Social anxiety disorder is fear of social activities like being in a group.
4. Obsessive-compulsive disorder is characterized by the repetitive performing of a ritual activity.
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A patient asks the health care provider how warfarin (Coumadin) achieves its anticoagulant ef-fect. Which statement would be the most appropriate response of the health care provider?
a. Warfarin inactivates clotting factors that are currently circulating in the blood-stream. b. Warfarin dilates the arterial lumen so blood can flow around a site of injury. c. Warfarin prevents clots from forming by making blood vessel walls slippery. d. Warfarin interferes with production of vitamin K-dependent clotting factors in the liver.
Which action constitutes active euthanasia?
A. Increasing opioid-based pain medication to achieve adequate pain relief B. Discontinuing treatment of bacterial pneumonia with antibiotics C. Allowing only oral fluids for a confused client D. Limiting wound care to only once daily
An elderly client admitted for heart failure and experiencing lower back pain is seen attempting to get out of bed to go to the bathroom. The client's activity status includes bathroom privileges
Which of the following should the nurse do to support this client? 1. Provide the client with a bed pan 3. Assess the client's ambulation status and provide assistive aids as appropriate 4. Ask the physician for an order for restraints 5. Instruct the client to stay in bed according to the physician's orders
A patient with a brain tumor is prescribed an antiseizure medication. The nurse realizes that the purpose of this medication will be to:
1. Eliminate all seizure activity. 2. Reduce focal seizures. 3. Premedicate for status epilepticus. 4. Control the onset of seizure activity.