An adult client assaults another client and is placed in restraints. Which statement from the client while in restraints should alert a nurse that further assessment is necessary?
A. "I hate all of you!"B. "My fingers are tingly."C. "You wait until I tell my lawyer."D. "I have a sinus headache."
B
This statement may mean that the restraints are excessively tight and impeding circulation.
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A 60-year-old client diagnosed with schizophrenia spectrum disorder presents in an ED with uncontrollable tongue movements, stiff neck, and difficulty swallowing
Which medical diagnosis and treatment should a nurse anticipate when planning care for this client? 1. Neuroleptic malignant syndrome treated by discontinuing antipsychotic medications 2. Agranulocytosis treated by administration of clozapine (Clozaril) 3. Extrapyramidal symptoms treated by administration of benztropine (Cogentin) 4. Tardive dyskinesia treated by discontinuing antipsychotic medications
A 60-year-old woman who is 11 years menopausal has presented to the emergency department stating, "I haven't had my period in years, but lately I've been bleeding again, and quite heavily in the last few days." The care team needs to rule out endometrial cancer. How should they best explain the most accurate plan for confirming or ruling out the diagnosis?
A) "We're going to book a CT scan for you as soon as possible so that we can see what is inside your uterus." B) "We're going to have to open your cervix with a speculum and take scrapings from the wall of your uterus." C) "We are going to order blood work that will measure your hormone levels." D) "We can do a Pap smear right now, and we will get the results as soon as we can."
The American Nurses Association recommends that questionable practices in the workplace be reported. These may NOT include:
A) Endangering a client's health B) Abusing authority C) Violation of rules or standards of practice D) Being short-tempered with others
What would be appropriate for the nurse to do when assessing a patient's motor function?
1. Assess all four extremities together. 2. Assess the right leg and the right arm together. 3. Assess the arms together and then assess the legs separately. 4. Assess the left leg and the left arm together.