The client has recently started antidepressant drug therapy. He approaches the nurse complaining of a headache, palpitations, and stiffness in the neck. The most appropriate ac-tion is to
1. notify the physician immediately.
2. notify the physician when convenient.
3. give the client two aspirins and monitor his headache and heart rate.
4. reassure the client that these are common side effects of his medication.
1
Headaches, palpitations, changes in levels of consciousness, and stiffness in the neck should be reported to the physician immediately as they are signs of serious side effects.
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In assessing the function of CNs III, IV, and VI, the nurse would ask the client to
a. look straight ahead for examination with an ophthalmoscope. b. move the eyes in six directions. c. read a newspaper. d. shut the eyes tightly.
What is the nursing care priority for a patient diagnosed with Stage 7 Alzheimer's disease?
a. Nutrition and hydration b. Promoting self-care activities c. Supporting attempts to communicate d. Preserving problem-solving abilities
During a child's last stage of dying, her parents ask, "Is she able to hear us?" What is your best response?
A) "Yes, she is able to hear and fully comprehend everything that is said." B) "No, now that she is semicomatose, she is unable to hear you." C) "No one really knows whether one can hear at this stage; it probably is a good idea not to speak too loudly." D) "Yes, she can hear and may also understand most of what is being said."
A new graduate nurse has been having difficulty working with one of the older nurses and has requested to be assigned to the evening shift. Which approach to conflict management has the new nurse chosen?
a. Avoiding c. Competing b. Collaboration d. Accommodation