A patient is admitted for psychiatric observation after being arrested for breaking windows in the home of his former girlfriend, who had refused to see him
His history reveals abuse as a child by a punitive father, torturing family pets, and one arrest for disorderly conduct. The priority nursing diagnosis that should be considered is: a. Stress overload.
b. Ineffective coping.
c. Risk for self-directed violence.
d. Risk for other-directed violence.
D
The defining characteristics for Risk for other-directed violence include a history of being abused as a child, having committed other violent acts, and demonstrating poor impulse control. The defining characteristics for the other diagnoses are not present in the scenario.
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____________________ are sometimes wrapped around dressings to hold the dressings in place.
Fill in the blank(s) with the appropriate word(s).
When auscultating the heart of a client with pericarditis, the nurse expects to hear which sound?
a. A systolic murmur b. An S3 heart sound c. A friction rub d. An S4 heart sound
A bill has passed both Houses. Before it gets sent to the president, it must be
a. approved by appropriate party chairs. b. fully financed with appropriations. c. registered as a pending law to sign. d. resolved in conference committee.
The nurse assists the client to the bathroom, which is approximately 10 feet from the bed. The client ambulates 3 feet and states, "I cannot catch my breath." How would the nurse document this finding?
A) "Can't walk without becoming short of breath." B) "Has paroxysmal nocturnal dyspnea when walking." C) "Has orthopnea when walking." D) Experiences exertional dyspnea when walking 3 feet; states, "I cannot catch my breath."