The nurse cares for a patient on an antipsychotic drug who develops acute dystonia. Which drug will most likely be prescribed for this reaction?
1. 5-HT3 blocker
2. Anticholinergic
3. Neuroleptic
4. Tricyclic
Correct Answer: 2
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The results of a patient's Weber test indicate a conductive hearing loss in the right ear. This is based on a report of
a. hearing the sound equally in both ears. b. hearing the sound louder in the left ear. c. hearing the sound louder in the right ear. d. not hearing the sound in either ear.
The nurse counsels a family not to shield their 6-year-old child from the death of his grandfather because children who are protected from the pain of bereavement frequently develop feelings of (select all that apply):
1. fear. 2. anger. 3. abandonment. 4. blame. 5. inability to express feelings.
On assessment of the client with otitis media, the nurse notes that the tympanic membrane is retracted and the landmarks visible. Which of the following is the priority nursing diagnosis for the client at this stage?
A. Acute Pain related to increased middle ear pressure B. Risk for Infection related to presence of bacteria in the middle ear C. Impaired Verbal Communication related to diminished hearing in affected ear D. Risk for Imbalanced Fluid Volume related to potential nausea and vomiting
Your 12-month-old client has had repeated ear infections. The parent has noticed that the client does not look toward the sources of noises and has not started to vocalize. Which nursing diagnosis would be most appropriate?
1. Social isolation 2. Impaired verbal communication 3. Disturbed sensory/perceptual: auditory 4. Self-care deficit