The nurse is providing a psychotropic medication to an older patient. Which adverse effects of this medication might occur with this patient? Standard Text: Select all that apply
1. Dystonia
2. Akathisia
3. Delusions
4. Tardive dyskinesia
5. Schizophreniform disorder
1,2,4
Rationale: Dystonia is an extrapyramidal symptom that can occur at any time from the first few days of treatment to years later.
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The client delivered her first child vaginally seven hours ago. She has not voided since delivery. She has an IV of lactated Ringer's solution running at 100 ml/hr. Her fundus is firm, 1 FB ? U, to the right of midline
The best nursing action is to: 1. Massage the fundus vigorously. 2. Assesses the client's pain level. 3. Increase the rate of the IV. 4. Assist the client to the bathroom.
When a nurse is obtaining a history from a client regarding anginal pain, which of the following should be included? Select all that apply
A) Duration of the pain B) Events that relieve anginal pain C) Events that trigger anginal pain D) Description of the pain E) Whether the pain radiates
The nurse is caring for a client who arrives in the emergency room obtunded. The client's blood sugar is 802 and the client is started on an insulin drip
The nurse plans to monitor that the blood sugar does not decrease by more than 50 every hour for which of the following reasons? 1. Increased risk for increased intracranial pressure 2. Increased risk for the development of diabetic coma 3. Increased risk for cardiac arrhythmias 4. Increased risk of fluid deficit
What is the importance of using classification systems for nursing nomenclature to describe nursing practice?
a. To provide a system to develop and use a patient care management system b. To allow nursing administration to project, define, and implement nursing care policies and guidelines c. To assist the quality control team to survey and gather data that will reflect the acuity classification of patients d. To facilitate collection of consistent data that can be accurately manipulated in an electronic medical record