The nurse asks what the client did prior to today's admission. The client states, "I went to my friend's house. He is a cop. I've been stopped by the police in my red car. I was on my way to Kansas City.". The nurse would:
A) Ignore the client's answer and ask another question.
B) Refocus the client on the question.
C) Ask which friend's house.
D) Teach about clarification.
B
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An older adult client who is being treated in the hospital was given a hypnotic medication at bedtime. Which of the following possible consequences would indicate a paradoxical effect of this drug?
A) The client is unable to sleep without medication the following night. B) The client experiences respiratory depression after the drug takes effect. C) The client exhibits restless, uncharacteristic behavior after receiving the drug. D) In the morning, the client is unable to identify his location or the day of the week.
What is the immediate concern when a client's membranes rupture spontaneously prior to fetal engagement?
a. a "dry" and painful birth c. development of a vaginal infection b. development of a fetal infection d. prolapsed umbilical cord
A client has been prescribed a nonopioid analgesic for mild-to-moderate pain. The client has normal liver function. What is the maximum recommended amount of acetaminophen for this client to take per day to avoid liver damage?
A) 2 g B) 3 g C) 4 g D) 5 g
Which statement by a client who will be maintained on lithium following discharge should the nurse evaluate as evidence of a need for further instruction?
1. "I will not take my morning lithium until after I have my blood work done." 2. "When I get home, I may go on a salt-free diet." 3. "I have learned not to restrict my intake of water." 4. "I understand some people gain weight on lithium."