When the nurse uses Maslow's hierarchy of needs to plan care for a client who is psychotic, which
client problem below will receive priority?
a. Refusal to eat
b. Feelings of alienation from family
c. Reluctance to participate in unit social activities
d. Need to be taught about medication action and side effects
ANS: A
The need for food is a physiological need; therefore it takes priority over psychological or
meta-needs in care planning.
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An older adult client complains to the nurse that a medication is causing significant nausea and vomiting. Which responses by the nurse are appropriate?
1. "A normal consequence of aging is decreased blood flow to the stomach. This could result in the medication staying in your stomach longer, causing nausea and vomiting." 2. "A normal consequence of aging is slowed emptying of stomach contents. This can cause nausea and vomiting." 3. "A normal consequence of aging is slower absorption of medications, resulting in nausea and vomiting." 4. "A normal consequence of aging is an increase in liver size, which can result in nausea and vomiting." 5. "A normal consequence of aging is decreased carbohydrate metabolism, which can result in nausea and vomiting."
Which type of injections involve the use of site rotation to prevent tissue damage from repeated injections?
A. insulin and tuberculin B. intramuscular and subcutaneous C. intradermal and intramuscular D. intradermal and subcutaneous
The clinic nurse caring for a patient with Parkinson's disease notes that the patient has been taking levodopa and carbidopa (Sinemet) for 7 years. What common side effects of Sinemet would the nurse assesses this patient for?
A) Pruritus B) Dyskinesia C) Lactose intolerance D) Diarrhea
Which of the following is not true about the storage of antiseptic and disinfectant agents on a hospital ward?
a. All containers must be labeled with the name and strength of the contents. b. Storage must be in an area away from persons who might accidentally or purposefully ingest the substances. c. Containers must be labeled as to whether the agent is safe for internal or external use. d. Over-exposure to the skin of many clients will cause irritation.