The nurse is reviewing a care plan for an assigned client diagnosed with paranoid schizophrenia. Which of the following would be a priority diagnosis for this client?
A) Risk for self-directed violence
B) Altered nutrition, less than body requirements
C) Defensive coping
D) Altered family processes
A
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The concentration of _______ found in the blood is called the BAC.
Fill in the blank(s) with the appropriate word(s).
An adolescent, age 17, rarely expresses feelings and usually remains passive. However, when angry, her face becomes flushed and her blood pressure rises to 170/100 mm Hg. Her parents are passive and easygoing. The adolescent may be using which defense mechanism to handle anger?
A. Displacement B. Introjection C. Projection D. Sublimation
Which of the following statements by the caregiver of a client newly diagnosed with dementia requires further intervention by the nurse?
a. "I will remind Mother of things she has forgotten." b. "I will keep Mother busy with favorite activities as long as she can participate." c. "I will try to find new and different things to do every day." d. "I will encourage Mother to talk about her friends and family."
A patient diagnosed with chronic obstructive pulmonary disease (COPD) has a pulse oximetry reading of 86%, polycythemia, increase in WBC bands count, temperature of 101° F, pulse 100, respirations 35, and a chest X-ray showing evidence of a
flattened diaphragm with infiltrates. Which physician order would the nurse question for this patient? 1. Antibiotic therapy 2. Initiation of oxygen by nasal cannula at 1–2 L/minute 3. Bronchodilator therapy 4. Mucolytic therapy