The nurse is caring for a client with schizoid personality disorder. Which nursing diagnosis is most appropriate for this client with a Cluster A personality disorder?
A) Social isolation related to inadequate social skills, craving of solitude
B) Fear related to feelings of abandonment
C) High risk for violence, self-directed, related to poor impulse control
D) Ineffective individual coping related to high dependency needs
A,
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The nurse is administering medication via the intramuscular route, inserts the needle, draws back, and sees blood enter the syringe. The nurse's next action is to:
1. Pull the needle out slightly and reposition it at a different angle and draw back again. 2. Inject the medication very slowly. 3. Withdraw the needle, place a clean needle on the syringe, and choose a new site. 4. Withdraw the needle and discard the syringe, then draw up new medication.
A patient who has had a loss of interest in most activities, weight loss, and insomnia is diagnosed with a major depressive disorder and will begin taking fluoxetine (Prozac) daily
The patient asks about the weekly dosing that a family member follows. What will the nurse tell the patient about a weekly dosing regimen? a. It can be used after daily maintenance dosing proves effective and safe. b. It is used after a trial of tricyclic antidepressant medication fails. c. It is not effective for this type of depression and its symptoms. d. It will cause more adverse effects than daily dosing regimens.
A patient receiving an antacid is experiencing muscle cramps. What should the nurse do to assist this patient?
A. Notify the healthcare provider. B. Provide reassurance to the patient. C. Review the patient's elimination patterns. D. Review the patient's diet history.
The nurse documents which data under the category of Present Health Status?
a. Surgeries and hospitalizations b. Chronic diseases of siblings c. Date and outcome of the client's last physical examination d. The client's allergies to medications