What are the signs and symptoms of dissociative fugue? (Mark all that apply.)
A) Most cases last only hours or days
B) Recovery is typically abrupt with the client in a state of disorientation
C) Occurs most often in adolescents
D) Usually caused by a traumatic event that has resulted in severe psychologic stress
E) Generally occurs during times of transition in the client's life, such as midlife crisis
A, B, D
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The nurse, assessing a patient with a Glasgow Coma Score of 4, finds the patient's pupils to be pinpoint and nonreactive to light. The nurse takes into consideration that this finding can be due to which situations?
1. The patient was given atropine sulfate for bradycardia. 2. The patient has increased blood glucose. 3. The patient may have taken an opioid drug overdose. 4. The patient has sustained compression of the oculomotor nerve. 5. The patient has sustained damage to the pons.
The nurse would remind a client that the cause of sudden death after myocardial infarction is usually
a. congestive heart failure. b. dysrhythmias. c. myocardial ischemia. d. stroke.
Acyclovir (Zovirax) ointment has been prescribed for a patient with oral herpes lesions
What should the nurse include when instructing the patient regarding this medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Adverse effects include vomiting and diarrhea. 2. It can reduce the length of the herpes outbreak. 3. It is an antibiotic medication. 4. Repeated usage of the drug will lead to a permanent state of remission. 5. It is most effective when administered intravenously.
A client is recovering from a football accident and is participating in physical therapy. When the nurse assesses his muscle strength, she notes that he can ambulate by himself with the assistance of a cane
When asked, the client squeezes both of the nurse's hands moderately firm but can only push with some resistance against the nurses' hand. How would you rate his muscle strength? a. 0 = no muscular contraction d. 4 = active movement against gravity and some resistance b. 1 = barely flicker of contraction e. 5 = active movement against full resistance with no fatigue c. 2 = active movement against gravity