A nurse is preparing a teaching session for a group of parents with children newly diagnosed with attention deficit/hyperactivity disorder (ADHD)
When explaining this disorder to the parents, which of the following would the nurse include as being involved? Select all answers that apply. A) Impulsivity
B) Inattention
C) Distractibility
D) Hyperactivity
E) Defiance
F) Anxiety
A, B, C, D
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ADHD is characterized by inattention, impulsivity, distractibility, and hyperactivity. Anxiety disorder and oppositional defiant disorder may be comorbidities associated with ADHD.
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At 11:00 AM, a patient with schizophrenia who exhibits concrete thinking asks the nurse for PRN acetaminophen (Tylenol). However, he last had it at 8:00 AM, and it is ordered only every 4 hours. Which nursing response would be most therapeutic?
a. "I'm sorry, it's not quite time yet; please come back again in 1 hour.". b. "I'm sorry, it's not quite time yet; please come back again at 12 noon.". c. "It's not time yet; please come back when both hands of the clock point straight up.". d. "It's not time yet; I will let you know when it is time. Perhaps a nap would help?"
A patient with diabetes mellitus and poor circulation has thick and ingrown toenails. What should the nurse instruct the patient to do?
1. Soak feet in Epsom salts daily. 2. Use a clean sharp razor blade to trim nails. 3. Make an appointment with a podiatrist. 4. Cut toenails immediately prior to bathing.
A home health nurse explains the procedures for preventing infection in a client's central venous access device, and has the client's spouse watch while the nurse hooks the client to the medication infusion
The nurse is acting in which of the following roles? A) Educator B) Caregiver C) Advocate D) Coordinator
The nurse is reviewing the records of a client with severe left pleural effusion. Which assessment finding should the nurse anticipate? Select all that apply.
A. Tracheal shift to the right. B. Pleural friction rub. C. Absent breath sounds on the left side. D. Hyperresonance upon percussion. E. Bronchial breath sounds on the right side.