A nurse is assisting a client with borderline personality disorder in how to manage transient psychotic episodes that involve auditory hallucinations. The teaching is planned for times when the client is free of these symptoms
Which of the following would the nurse instruct the client to do first?
A) Use skills to tolerate painful feelings.
B) Practice deep abdominal breathing.
C) Identify early internal cues of distress.
D) Refer to cards listing potential symptoms.
C
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A home health nurse assesses a client with diabetes who has a new cast on the arm. The nurse notes the client's fingers are pale, cool, and slightly swollen. Which action should the nurse take first?
a. Raise the arm above the level of the heart. b. Encourage range of motion. c. Apply heat to the affected hand. d. Bivalve the cast to decrease pressure.
Which intervention should the nurse implement for the older client with Ineffective Airway Clearance as a result of pneumonia?
A. Incentive spirometry 5 to 10 breaths per session every hour while awake B. Chest physiotherapy every 4 hours while awake C. Positioning the client on the unaffected side D. Oxygen at 45 L/minute by nasal cannula
The nurse is obtaining a health history from a 70-year-old patient. The patient states that, in addition to other medications and herbals supplements, he takes saw palmetto daily
For which of the following health problems does the nurse suspect the patient is using it? a. Gastrointestinal (GI) upset b. Insomnia c. Enlarged prostate d. Skin rash
In the context of electrolytes, which of the following statements is true about calcium in the body?
A. Excessive amounts of calcium in the blood cause hyperexcitability of nerve and muscle fibers (tetany). B. When given intravenously, calcium is usually administered in the form of calcium chloride or calcium gluconate. C. A deficiency of calcium produces muscle weakness and may lead to cardiac and respiratory failure. D. The normal serum concentration of calcium ranges between 5.0 and 6.5 mEq/l.