A patient reports, "The government has implanted a device in my head.". What outcome would the nurse identify as being appropriate for the patient to achieve within 1 week of admission?
a. Taking antipsychotic medication as prescribed without objection
b. Giving coherent data to support beliefs that a device has been implanted
c. Interpreting reality correctly by stating that no implantation has occurred
d. Reporting feeling less anxious about having the government listening to interior thoughts
C
An appropriate outcome for a delusional patient is that the patient will interpret reality correctly.
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The nurse is helping the patient to perform leg exercises after surgery to prevent thrombophlebitis. Which type of muscle is the patient using for these exercises?
a. Skeletal b. Smooth c. Cardiac d. Slow-twitch fibers
A client has second-and third-degree burns to the legs and feet. The nurse assesses the client has an increased heart rate, decreased blood pressure, and cool and clammy skin. The nurse should recognize this client is in what type of shock?
a. anaphylactic c. hypovolemic b. cardiogenic d. toxic
Methotrexate is recommended as part of the treatment plan for which of the following obstetric complications?
1. Complete hydatidiform mole 2. Missed abortion 3. Unruptured ectopic pregnancy 4. Abruptio placentae
The nurse is caring for a patient with a spinal cord injury and notices that the patient's hips have a tendency to rotate externally when the patient is supine. To help prevent injury secondary to this rotation, the nurse can use
a. A trochanter roll. b. The trapeze bar. c. Hand rolls. d. Hand-wrist splints.