Which assessment data most suggests that the patient is experiencing a fugue state?
a. After being caught in an affair, a man disappeared only to reappear months later without memory of what had occurred while he was missing.
b. A woman reports that when she feels tired or stressed, it seems like her body isn't real and is somehow growing smaller, which seems "crazy" to her.
c. A man is extremely anxious about his problems and sometimes "zones out," finding that several minutes have passed without conscious awareness of them.
d. A woman finds unfamiliar clothes in her closet, is recognized when she walks into restaurants she's never been to, and complains of "blackouts" despite not drinking.
A
The patient in a fugue state relocates and lacks recall of his life before the fugue began. Often fugue states follow traumatic experiences and sometimes involve assuming a new identity. Such persons at some point find themselves in their new surroundings, unable to recall who they are or how they got there. A feeling of detachment from one's body or from the external reality is an indication of depersonalization disorder. Losing track of several minutes when highly anxious is not an indication of a dissociative disorder and is not unusual in states of elevated anxiety. Finding evidence of having bought clothes or gone to restaurants without any explanation for these is suggestive of dissociative identity disorder, particularly when periods of time are "lost" to the patient (blackouts).
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A) child's gestational age. B) patient's vital signs. C) standard dosage chart for age. D) child's weight in kilograms.
The nurse administers a medication to the patient. Which symptoms indicate that the patient is having an allergic reaction rather than a side effect?
a. Hair loss and sweaty skin b. Nausea and constipation c. Heartburn and nasty taste in the mouth d. Itchy rash and difficulty breathing
The medication nurse is in charge of transcribing drug orders and administering drugs to assigned patients. While preparing the drugs for administration, the nurse should always check
A) for drug composition. B) the chemical, generic, and trade name of each drug. C) the drug name at least three times—before, during, and after obtaining each drug. D) the cost of each drug.
A nonhypovolemic patient is severely hypotensive and requires a dopamine infusion at 5 µg/kg/min. The patient's estimated weight is 190 lb. You add 800 mg of dopamine to a 500-mL bag of normal saline and are using a microdrip administration set. At how many drops per minute (gtts/min) will you set the IV flow rate?
A. 16 B. 10 C. 12 D. 14