For the past 3 weeks, the nurse has observed a patient interacting with staff and other patients, helping decorate the dining room for a party, and leading the singing in the activity room
Today, the patient tearfully refuses to dress or get out of bed. The nurse recognizes these behaviors as evidence of: a. unipolar depression.
b. dysthymic disorder.
c. hypomanic episode.
d. bipolar disorder.
D
Mood disorders are also known as affective disorders. Bipolar disorders cause the patient to suddenly shift in emotions from one extreme to the other.
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When inspecting the anterior chest of an adult, the nurse should include which assessment?
a. Diaphragmatic excursion b. Symmetric chest expansion c. Presence of breath sounds d. Shape and configuration of the chest wall
Thyroid malignancy can be detected through a needle biopsy. Which test below is the best method for detecting masses, nodules, and cysts in the thyroid gland?
A) Arteriogram B) PET scan C) Ultrasound D) MRI
The nurse is talking with the patient when the monitor alarms and shows a wavy baseline without a PQRST complex. The nurse should:
a. defibrillate the patient immediately. b. initiate basic life support. c. initiate advanced life support. d. assess the patient and the electrical leads.
A patient is using a metered-dose inhaler containing albuterol for asthma. The medication label instructs the patient to administer "2 puffs every 4 hours as needed for coughing or wheezing
" The patient reports feeling jittery sometimes when taking the medication, and she doesn't feel that the medication is always effective. Which action is outside the nurse's scope of practice? a. Asking the patient to demonstrate use of the inhaler b. Assessing the patient's exposure to to-bacco smoke c. Auscultating lung sounds and obtaining vital signs d. Suggesting that the patient use one puff to reduce side effects