With regard to the environment, it is important for the nurse to be aware of lighting for some clients. Clients with a diagnosis of schizophrenia may be bothered by lights that are flickering because this may trigger:
a. Overstimulation
b. Hallucinations
c. Aggressive behaviors
d. Photophobia
B
The flickering of a light bulb can trigger hallucinations and delusions; therefore, it is important for the nurse to monitor the physical environment. Overstimulation, aggressive behaviors, and photophobia usually occur when light is too bright.
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Which of the following interventions should be included when teaching a healthy behaviors class for parents of adolescents? (Select all that apply.)
a. Always monitor the child's telephone conversations b. Insist on seatbelt use at all times c. Encourage tanning bed use versus exposure to the sun d. Maintain recommended immunization schedule e. Encourage good dental care
A child with a hip spica cast is being prepared for discharge. Recognizing that caring for a child at home is complex, the nurse should include what instructions for the parents' discharge teaching?
a. Turn every 8 hours. b. Specially designed car restraints are necessary. c. Diapers should be avoided to reduce soiling of the cast. d. Use an abduction bar between the legs to aid in turning.
The nurse is assessing a patient with Guillain-Barré syndrome. What should the nurse expect to assess in this patient?
Select all that apply. 1. increased muscular weakness 2. increased lower extremity edema 3. increased confusion 4. increased intolerance to light 5. decreased deep tendon reflexes
Concerning maternal, fetal, and neonatal health problems, nurses should be aware that:
1. infection has replaced pulmonary embolism as one of the three top causes of ma-ternal death attributable to pregnancy. 2. the leading cause of death in the neonatal period is disorders related to short ges-tation and low birth weight. 3. factors related to maternal death rate include age and marital status, but not race. 4. antepartum fetal deaths can best be prevented by better recognizing and respond-ing to abnormalities of pregnancy and labor.