The mental health unit separates from others a male patient who repeatedly talks rapidly, makes sexual comments to female patients, and touches them inappropriately. While reviewing his medical records,
which diagnosis can the nurse best anticipate for this patient?
a. Depression
b. Schizophrenia
c. Alzheimer's disease
d. Bipolar disorder
ANS: D
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While assessing a client's peripheral IV site, the nurse observes a streak of red along the vein path and palpates a 4-cm venous cord. How should the nurse document this finding?
a. "Grade 3 phlebitis at IV site" b. "Infection at IV site" c. "Thrombosed area at IV site" d. "Infiltration at IV site"
A patient is seen in the physician's office following several tests. The test results include elevated blood calcium, elevated alkaline phosphatase, elevated phosphorus, normal creatine kinase, and increased uptake of the radioisotope on bone scan
The nurse realizes that the patient most likely is experiencing which health problem? 1. bone spurs 2. rheumatoid arthritis 3. osteoporosis 4. bone cancer
Diabetes meal planning involves:
a. Consistency in what is eaten and when b. A low-salt diet c. Changes in food thickness d. A high-iron diet
A client has scabies and will be using permethrin 5% cream (Elimite). What is the best instruction by the nurse?
1. "Leave the medication on the body for 24 hours." 2. "Apply the medication twice, so it can be more effective." 3. "Apply the medication topically to the affected area." 4. "Leave the medication on the body for 8–14 hours."