A nurse assesses a patient receiving perphenazine (Trilafon), a traditional antipsychotic medication. The nurse notices that the patient is squirming and pacing

When composing his nurse's notes, the nurse would describe his assessment findings by which terminology? a. Dystonia
b. Central nervous system effects
c. Parkinsonism
d. Akathisia


D
Akathisia is characterized by pacing and squirming brought on by an uncontrollable need to be in motion.
Dystonia is manifested by severe spasms of the muscles of the face, neck, tongue, or back.
"Central nervous system effects" is a very vague description, because many types of effects can occur; therefore, this would not be appropriate in the nurse's notes.
Parkinsonism is characterized by bradykinesia, a masklike face, drooling, tremor, and rigidity.

Nursing

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A client confides to you that he feels guilty because when he has intercourse with his girlfriend, he pretends that she is a certain female actress. What is your best response?

a. "This behavior is known as a voyeuristic disorder and is perfectly normal." b. "Are there problems in your relationship with your girlfriend?" c. "I can provide you with a referral to a sexual counselor who can help you work through these guilt feelings." d. "Fantasy before or during sexual intercourse can add excitement to a relationship."

Nursing

A public health nurse is new to his position and wants to get an overview of the health issues in the county. Which of the following items would be least helpful in providing him information?

1. A windshield survey 2. The state health commissioner's blog 3. The statewide health assessment 4. The county vital statistics and county trends

Nursing

The emergency department nurse receives a call about an incoming client with hypovolemic shock. The nurse understands that which conditions can result in hypovolemic shock? Select all that apply.

A) Diuresis B) Severe burns C) Congestive heart failure D) Blood loss E) Constipation

Nursing

A patient is brought to the emergency department after being involved in a drive-by shooting

Which physiological changes associated with the alarm stage would make it difficult to assess this patient for injury? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The patient's heart rate will be elevated. 2. The patient's blood glucose will be elevated. 3. The patient's urine output will be decreased. 4. The patient's bowel sounds will be hyperactive. 5. The patient's systolic blood pressure will be low.

Nursing