The use of benzodiazepines in the patient with generalized anxiety disorder and comorbid depression can exacerbate depressive symptoms
Indicate whether the statement is true or false.
ANS: T
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Which nursing diagnosis should be prioritized when providing nursing care to a client diagnosed with paranoid personality disorder?
1. Risk for violence: directed toward others R/T paranoid thinking 2. Risk for suicide R/T altered thought 3. Altered sensory perception R/T increased levels of anxiety 4. Social isolation R/T inability to relate to others
During shift report, the nurse is told that the patient she will be caring for has a stage II pressure ulcer. During the dressing change, the nurse would expect to see:
1. an ulcer that appears black with possible signs of infection. 2. a shallow ulcer that appears blistered, cracked, or abraded. 3. a crater-like sore with a distinct outer margin formed as the epidermis thickens and rolls over the edge toward the ulcer base. 4. redness of skin with no ulceration.
The nurse recognizes that the following assessment finding in the alcoholic client indicates a gastrointestinal complication:
A) nausea and vomiting B) loss of appetite C) dental caries D) tarry, black stools
The nurse is assessing the extent of burn injuries on the victims of a house fire. Which of the following patients would need to be transferred to a burn center for additional care and treatment?
1. 10-year-old child with burns to the face, hands, and anterior chest 2. 15-year-old child with 5% total body surface area burns to the left arm 3. 30-year old-female with superficial burns to the arms, face, and neck 4. 35-year old-male with superficial burns to the arms, anterior hands, and feet