Paul has a diagnosis of major depression. He is becoming increasingly more anxious and stating inability to rest and sleep. You observe him being very short with other patients and visitors. You realize that Paul: (SELECT ALL ANSWERS THAT APPLY)
A) Is reacting normally to being in the hospital
B) Is at heightened risk for suicide
C) Needs to be in the locked unit
D) Needs one on one staff assistance
E) Needs medication to promote sleep
F) Needs to be instructed about respecting other patients and visitors
B, D
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A client has a peritonsillar abscess. Which priority instruction does the nurse provide to this client?
a. "If you notice an enlarged node on the side of your neck where the abscess is, call your health care provider." b. "Stay home from work or school until your temperature has been normal for 24 hours." c. "You may gargle with warm water that has a teaspoon of salt in it as often as you like." d. "Take the antibiotic for the entire time it is prescribed, not just until you feel better."
A person has protection against a certain disease. The person has:
a. Immunity b. Personal protective equipment c. A vaccine d. A germicide
If a client who needs to make a lifestyle change because of a disease puts up barriers or makes excuses not to change, what two things could the nurse do?
What will be an ideal response?
A nurse is preparing for the admission of a child with a diagnosis of acute-stage Kawasaki disease. On assessment of the child, the nurse expects to note which clinical manifestation of the acute stage of the disease?
a) cracked lips b) a normal appearance c) conjunctival hyperemia d) desquamation of the skin