Which of the following is true about clients with illness anxiety disorder?
a. They may interpret normal body sensations as signs of disease.
b. They often exaggerate or fabricate physical symptoms for attention.
c. They do not show signs of distress about their physical symptoms.
d. All the above are true statements.
Answer: a. They may interpret normal body sensations as signs of disease.
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As a result of the increasing severity of her delusions and consequent unsafe behavior, a client has been admitted to a psychiatric facility and judged incompetent to make decisions. Who will now make decisions for the client?
A) The client's primary nurse B) The client's psychiatrist C) A hospital-appointed interdisciplinary committee D) A guardian appointed by the court
An infant has a severe case of oral thrush (Candida albicans). Which of the following is the priority nursing diagnosis for this infant?
1. Activity Intolerance related to oral thrush 2. Ineffective Airway Clearance related to mucus 3. Ineffective Infant Feeding Pattern related to discomfort 4. Ineffective Breathing Pattern related to oral thrush
A nursing student who is preparing to care for a postoperative patient with deep vein thrombosis asks the nurse why the patient must take heparin rather than warfarin. Which response by the nurse is correct?
a. "Heparin has a longer half-life." b. "Heparin has fewer adverse effects." c. "The onset of warfarin is delayed." d. "Warfarin prevents platelet aggregation."
The nurse is caring for a patient with a peripheral intravenous access that is used intermittently for medications but is not a continuous infusion. Which technique should the nurse use for rou-tine care of this peripheral line?
a. Flush with a low concentration of heparin. b. Always change the end cap with each me-dication dose. c. Change the intravenous (IV) insertion site every day. d. Flush with 0.9% saline solution.