A client has just been admitted to the mental health unit with a diagnosis of obsessive-compulsive disorder. The nurse observes the client for compulsive behavior involving which repetative element?
A. Fears
B. Actions
C. Thoughts
D. Delusions
Answer: B. Actions
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A client with a gunshot wound to the chest is suspected as having a tension pneumothorax. What should the nurse expect to assess for this health problem?
1. High blood pressure 2. Audible sucking sounds on inspiration 3. Wheezes in all lung fields 4. Deviated trachea
The perioperative nurse maintains the safety of the patient during surgery with which of the following goals? Select all that apply
a. Preventing infection b. Improving the accuracy of patient identification c. Preventing mistakes in surgery d. Obtaining signed consent for surgery e. Keeping the family informed of patient's status
A child is scheduled for immunizations, but the mother states that he has had a temperature of 100.2ยบ F all day. The nurse will:
1. tell the mother to go home. 2. give the immunizations. 3. give a higher dose because of the fever. 4. tell the mother to wait 1 month.
A patient who has a hyphema is at risk for developing
a. Glaucoma b. Strabismus c. Diplopia d. Astigmatism