A hospitalized client who has schizoaffective disorder is being treated with lithium carbonate. He repeatedly states he is a prisoner and is being poisoned by the pills the staff is giving him. He states his tremors are proof of the poisoning
The nurse analyzes this data as an indication that the client:
1. Is manipulative
2. Needs information about his medication's side effects
3. Is experiencing symptoms of withdrawal
4. Needs an increase in medication dose because of continuing delusions
ANS: 2
Interpreting client communication helps to determine the need for teaching about medication side effects and prevent client refusal of medication.
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In the event of a terrorist attack, which individuals are identified as those who will be "first responders"? (Select all that apply.)
a. primary care provid-ers d. animal control b. nurses and EMS per-sonnel e. police and firemen c. public health personnel f. media personnel
The parents of a 2-year-old who has cerebral palsy are only now beginning to accept that their child will have a permanent disability. The nurse has been instructing the parents about the treatment for the spasticity their child is experiencing
Which statements by the parents indicate that the nurse should plan additional teaching sessions? 1. "At some point, our child may require surgery to correct this spasticity." 2. "As long as we continue our child's medications, the spasticity can be controlled." 3. "Our physical therapy sessions should focus on flexing our child's muscles." 4. "We should repeat the exercises several times with each muscle group." 5. "It is best to give our child a rest from physical therapy by skipping 1 week a month."
A nurse is assisting a client in using simple relaxation techniques. Which of the following would the nurse do first?
A) Have the client assume a relaxed position. B) Advise the client to let the sensations happen. C) Ensure a quiet, undisruptive environment. D) Instruct the client to take an initial slow, deep breath.