A client is brought to the emergency department by his brother. The client has a history of bipolar disorder for which he is taking divalproex. The brother reports that he watched his brother take the medication about 2 hours ago
He stated, "A little while ago, he got very disoriented and agitated." The nurse suspects toxicity based on assessment of which of the following? Select all that apply.
A) Tachypnea
B) Bradycardia
C) Hypotension
D) Nystagmus
E) Vomiting
A, C, F
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A 40-year-old man who has been separated from his father since early childhood tells the nurse that his father recently contacted him to inform him that he is dying of Huntington disease. What is an essential component of care for this patient?
A) Assist the patient in determining signs of neuromuscular weakness B) Instruct the man on treatment options for Huntington disease C) Teach the man how to avoid passing Huntington disease to his own children D) Provide genetic counseling, evaluation, and testing for the disease
A client expresses concern about a rash located beneath her breast. What statement by the client indicates a good understanding of this condition?
a. "This rash is probably due to fluid over-load." b. "I need to wash this daily with antibac-terial soap." c. "I can use powder to keep this area dry." d. "I will schedule a mammogram as soon as I can."
The client, a 45-year-old woman, has acromegaly as a result of a pituitary adenoma found and removed when she was 16 years old
During a physical assessment before surgery for a knee replacement, the nurse discovers that she has a moderately enlarged liver. What is the nurse's best action? A. Counsel the client on the health risks of alcoholism. B. Determine whether the client is jaundiced. C. Document the finding as the only action. D. Request liver function blood tests.
Identify a true statement about the mechanism of action of the preferred diuretics used in the treatment of hypertension.
A. Thiazide and thiazide-like diuretics cause an increase in the excretion of sodium and water, which reduces the blood volume and cardiac output. B. Aldosterone antagonists cause an increase in the excretion of sodium and water, which reduces blood volume and cardiac output. C. Loop diuretics cause an increase in the excretion of sodium and water, which reduces blood volume and cardiac output. D. None of these are correct.