The nurse observes that a client with bipolar disorder is pacing in the hall, talking loudly and rapidly, and using elaborate hand gestures. The nurse concludes that the client is demonstrating which of the following?
a. Aggression
b. Anger
c. Anxiety
d. Psychomotor agitation
Ans: d. Psychomotor agitation
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A client received 2 1/2 ounces (oz) of medication at breakfast and 2 1/3 oz at lunch
How many oz of medication has the client received? _____
A 74-year-old patient is admitted to the coronary care unit with an inferior wall myocardial infarction and develops symptomatic bradycardia with premature ventricular contractions every third beat (trigeminy)
The nurse knows to prepare to administer which drug? a. Amiodarone b. Atropine c. Lidocaine d. Magnesium
The nurse explains the standards for pain management published by The Joint Commission (TJC). The nurse will (select all that apply):
1. perform organized pain assessment. 2. record results of analgesia. 3. give adequate discharge instruction about pain relief. 4. recognize the right of a patient to manage pain. 5. teach patients about pain control methods.
The nurse follows which of the following guidelines for writing expected outcomes: Standard Text: Select all that apply
1. Ensure that the expected outcomes are compatible with therapies of other professionals 2. Combining goals with multiple nursing diagnoses saves time 3. Avoid statements that start with permit or enable 4. Use observable, measurable terms 5. Determine goals based on nurses' values and concerns about client health concerns