A client was admitted after police brought him to the hospital after a fight with his roommate at a

community residence.

The client tells the nurse that he had been suspicious for several days, then
noted his roommate was casting a spell on him by looking at him intently, so he hit the roommate
with his fists. The client admits he stopped taking his antipsychotic medication a week ago when the
prescription needed to be refilled. Which outcome should the nurse working in a managed
behavioral health inpatient unit select for this client?
a. Symptoms will be stabilized with medication within 48 hours.
b. A trusting relationship with the nurse will be developed within 5 days.
c. A high level of ease with other clients will be reported within 1 week.
d. The client will agree to placement in a new residence within 3 weeks.


ANS: A
Managed care requires the shortest possible hospital stay. Stabilization of symptoms can occur
rapidly when medication is restarted. Discharge can occur shortly after stabilization. Options B, C,
and D: These outcomes are inappropriate because they presume a long hospitalization.

Nursing

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A nurse cares for a client who has an 80% blockage of the right coronary artery (RCA) and is scheduled for bypass surgery. Which intervention should the nurse be prepared to implement while this client waits for surgery?

a. Administration of IV furosemide (Lasix) b. Initiation of an external pacemaker c. Assistance with endotracheal intubation d. Placement of central venous access

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A patient receives succinylcholine (Anectine) for paralysis during endoscopy. During the procedure, the patient's muscles become rigid and the skin feels hot to the touch

The major concern in this patient would be the potential development of what complication? a. Esophageal obstruction b. Malignant hyperthermia c. Septicemia d. Thyroid storm

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A person with ____________________ may relive the event, or have nightmares or flashbacks.

Fill in the blank(s) with the appropriate word(s).

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Measure the infant's height

A. daily to see if she has grown. B. twice to ensure accuracy. C. by stretching the infant in the crib. D. with a ruler or yardstick.

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