When a patient is receiving a second-generation antipsychotic drug, such as risperidone (Risperdal), the nurse will monitor for which therapeutic effect?
a. Fewer panic attacks
b. Decreased paranoia and delusions
c. Decreased feeling of hopelessness
d. Improved tardive dyskinesia
ANS: B
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A nurse answers a call light on the postoperative nursing unit. The client states there was a sudden gush of blood from the incision, and the nurse sees a blood spot on the sheet. What action should the nurse take first?
a. Assess the client's blood pressure. b. Perform hand hygiene and apply gloves. c. Reinforce the dressing with a clean one. d. Remove the dressing to assess the wound.
The purpose of the nursing health history is to determine:
A) The patient's response to the health problem. B) The extent of the health problem. C) Which medications are appropriate to alleviate the health problem. D) All of the above.
The nurse assesses a patient with fibromyalgia and osteoarthritis. Which finding would indicate a need for patient teaching?
a. The patient takes glucosamine daily for knee and hip pain. b. The patient attends a weekly yoga class to improve flexibility and balance. c. The patient states that prayer helps improve the pain and her ability to function. d. The patient obtains information about herbs from a salesperson at a health food store.
How should the nurse dispose of a contaminated needle after administering an injection?
a. Place the needle in a specially marked, puncture-proof container. b. Recap the needle, and carefully place it in the trashcan. c. Recap the needle, and place it in a puncture-proof container. d. Place the needle in a biohazard bag with other contaminated supplies.