A teenage boy has lost his best friend as a result of a hunting accident. His parents report that he is eating and sleeping very little and expresses little interest in school
They are concerned that he talks about the accident repeatedly. These behaviors are gen-erally seen as:
a. Expressing responsibility for his friend's death
b. Attempts to avoid dealing with his pain
c. Expressions of a normal grief reaction
d. Indications of a risk for self-harm
ANS: C
The teen is displaying normal grief responses. He is not avoiding his pain but rather express-ing it various ways. There are no data to support that he feels responsible. He has not ex-pressed suicidal ideation.
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Prior to administering oxybutynin (Ditropan) to a client, the nurse should get a full medical history because the use of oxybutynin (Ditropan) is contraindicated in clients with which of the following? Select all that apply
A) Myasthenia gravis B) Urinary tract blockage C) Diabetes D) Intestinal blockage E) Hypertriglyceridemia
If a once-daily dose of an antipsychotic medication has inadvertently been skipped, the client should be instructed to:
a. call the health care provider immediately. b. double the dose of the medication for the next day. c. do nothing except take the next daily dose as prescribed. d. take one-half the normal dose the next day and the full dose thereafter.
The most important food for a patient taking anticoagulants to avoid is
1. citrus fruits. 2. garlic. 3. honey. 4. meat.
A client is being seen in the emergency department for abdominal pain. Based on the client's history, the nurse believes the client may have an abdominal aortic aneurysm. Which method of physical assessment should the nurse employ in this situation?
a. Deep palpation of all four quadrants of the abdomen b. Auscultation of the abdomen to listen for bruits c. Inspection of the abdomen to assess for signs of skin gathering d. Percussion over the upper third of the abdomen