A client is being released from the inpatient psychiatric unit with a diagnosis of schizophrenia and treatment with antipsychotic medications. After teaching the client and family about managing the disorder,
the nurse determines that the education was effective when they state that which of the following should be reported immediately
A) Elevated temperature
B) Tremor
C) Decreased blood pressure
D) Weight gain
Ans: A
Clients receiving antipsychotic therapy need to be alerted to the potential for complications, including neuroleptic malignant syndrome, a life-threatening condition that can occur with antipsychotic agents. This syndrome is manifested by severe muscle rigidity and elevated temperature that can rapidly accelerate. The nurse should instruct the client to seek immediate care if an elevated temperature develops. Tremor also should be reported, but this is not a life-threatening manifestation. Decreased blood pressure and weight gain can occur with antipsychotic agents, but these are not life threatening.
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A) Avoid milking the catheter. B) Wait for 8 hours to obtain drainage. C) Leave the catheter in place overnight. D) Rotate the catheter tip inside the stoma.
A client with osteocarcinoma is seen at the physician's office for a checkup. During the appointment, the client reports the pain is becoming increasingly unbearable and asks the nurse about the best way to schedule analgesic medications
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The nurse manager of an oncology unit is interviewing nurses for a position. Which statements, made by nurse applicants, would the manager evaluate as indicating ability to respond appropriately to the ethical dilemmas?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "I think nurses and physicians should discuss care decisions with patients and families." 2. "I worked an oncology unit for 10 years before we moved here." 3. "I think that most dilemmas can be solved by taking the option that is most logical." 4. "At my last job, we were required to take ethics training each year." 5. "As long as nurses follow orders and policy and procedures ethical dilemmas are unlikely to arise."
The nurse receives report from the admission department that a child with a slipped femoral epiphysis is en route to the care area. For which type of child should the nurse begin to plan care?
A) Tall, thin female B) Preadolescent female C) Active school-age male D) Obese preadolescent male