The nurse is talking to a client with schizoid personality disorder about finding a job. Which of the following suggestions by the nurse would be most helpful?
A) "Being a loner really limits your employment opportunities."
B) "Maybe your friend could see if there is a night position available at the convenience store."
C) "Perhaps working part-time at a fast-food restaurant would be something you could do."
D) "There is a job posting at the hospital for a file clerk in medical records."
D
Feedback: Clients with schizoid disorder often work well in jobs with minimal interpersonal demands. Answer A is not a positive suggestion for this client. Answer B does not promote independence in finding a job. Answer C is not correct because these clients exhibit marked detachment from others; working in a fast-food restaurant involves the use of many interpersonal skills.
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The patient has been diagnosed with an acute inferior myocardial infarction. What 12-lead ECG changes does the nurse expect to find after several hours?
A) ST segment elevation and large Q wave in leads II, III and aVF B) ST segment depression and wide QRS in leads II, III, and aVR C) ST segment elevation and large Q wave in leads V1–V4 D) ST segment depression and large S wave in leads V2–V4
The nurse is ambulating her patient back from the bath when the patient begins to have a seizure. Which of the following actions should the nurse do first?
a. Lower the patient to the floor if standing. b. Move sharp or hard objects away from the patient. c. Turn the patient to his/her side to prevent aspiration. d. Attempt to place a tongue blade to prevent choking.
The nurse is reviewing the medical records of several clients who are receiving lithium. Which of the following would the nurse identify as being at increased risk for the development of lithium toxicity? Select all that apply
A) Clients receiving furosemide (Lasix) B) Clients experiencing diarrhea C) Clients with renal insufficiency D) Clients with liver cirrhosis E) Clients experiencing vomiting
A patient in the cardiac PACU was just extubated, 5 hours after the conclusion of a coronary artery bypass graft (CABG). How can the patient's nurse best promote adequate gas exchange for this patient?
A) Apply continuous positive airway pressure (CPAP) as ordered. B) Perform deep suctioning q1h. C) Reposition the patient frequently. D) Administer nebulized bronchodilators and corticosteroids as ordered.