A client is admitted with a diagnosis of antisocial personality disorder. The client comes to the nurses' station at 11:00 P.M. requesting to phone his lawyer. The unit rule states that there are to be no phone calls placed after 10:00 P.M
The client says he must discuss the process for filing for a divorce immediately. Which is the most appropriate nursing response?
A) "You may go ahead and use the phone. I know this is hard for you."
B) "You know better than to break the rules. I'm surprised at you."
C) "It is after 10:00 P.M. You can call tomorrow."
D) "You really don't want to file for a divorce, do you?"
C
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The nurse is starting preoperative teaching when the client receives a phone call from work. When the nurse resumes teaching, the client is visibly upset. The most therapeutic initial approach is to:
1. Encourage the client to verbalize concerns and feelings, and then do health teaching when the client is able to listen. 2. Tell the client that it is important to focus on the preoperative teaching so that recovery will be faster. 3. Reassure the client that whatever is happening at work can be dealt with in the workplace. 4. Encourage the client to do problem solving.
A person calls the crisis hotline and says, "Nobody can help me now. I just want to say goodbye to somebody before I do it.". The best response to this statement would be:
a. "I can help you. Will you let me try?" b. "You're still alive, so you can still get help.". c. "You sound very discouraged. What are you planning to do?" d. "I'll arrange transportation so you can come here and tell me about the problem.".
Ordered: A bronchodilator, Aminophylline, 8 mg per hr continuous infusion, for a child who received an appropriate loading dose, on a pump based upon frequent and current serum theo-phylline levels for a child with asthma
Obtain a serum theophylline concentration level 4 hours after infusion is started and call prescriber. SDR: 0.8 mg per kg per hr for continuous infusion after appropriate loading dose. Child's weight is 40 kg. Remove 20 mL from a 500 mL D5W IV and add the Aminophylline. Total mL will remain ap-proximately 500 mL. a. SDR for this child: b. Evaluation: Safe to give or hold and clarify promptly with prescriber? c. Flow rate if applicable:DA: d. Evaluation:
Urticaria is classified as what type of hypersensitivity reaction?
a. Type I b. Type II c. Type III d. Type IV