The parents of a teen suspect their child is using amphetamines. Manifestations of amphetamine use include (select all that apply)
a. Weight gain
b. Excessive talking and activity
c. Excessive sleeping
d. Insomnia
e. Agitation
B, D, E
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Correct Euphoria, hyperactivity, agitation, irritability, insomnia, weight loss,
tachycardia, and hypertension are expected behaviors and effects of
amphetamine abuse.
Incorrect The adolescent using amphetamines is likely to have weight loss not
weight gain. Excessive sleeping may be associated with alcohol abuse or
abuse of barbiturates.
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While interviewing the client during the focused interview, the client begins to cry softly. Which of the following interventions by the nurse are appropriate? Standard Text: Select all that apply
1. The nurse states, "It's all right, I think we're done with the interview." 2. The nurse places the tissues within arm's reach of the client. 3. The nurse remains quiet until the nurse feels that the client is prepared to proceed with the interview. 4. The nurse states, "I don't like these questions any more than you do, but we need to get on with the interview so you can go home and cry later." 5. The nurse states, "I can see you are upset. It's all right to cry."
The school nurse assesses a child with a history of asthma who has an acute onset of wheezing. The initial action by the nurse is to:
1. Call 911 to request emergency medical assistance. 2. Call the child's parents to come and pick up the child. 3. Have the child use his metered-dose inhaler. 4. Have the child lie down to see if the symptoms subside.
While the nurse was assessing the heart sounds of the neonate, a murmur was detected. The nurse understands that a murmur in a neonate:
a. Is normal and will resolve in a few weeks b. Is caused only by improper formation of the heart c. Is classified as functional or organic d. Is graded from 1 to 6 based on severity of symptoms
The quality improvement team reviews the records of clients on a monthly basis to determine whether protocols for pain assessment were followed. Which of the following best describes the major drawback to the team's approach?
a. The client is no longer under the agency's care. b. It is difficult to compare documentation of care to standards of care. c. Records can be inaccurate or incomplete. d. Team members may disagree on whether the standards of care were met.