The nurse is providing care to a male patient who is hospitalized with a diagnosis of schizophrenia. Which of the following would be appropriate for the nurse to include in the patient's medical record?
A) "Patient states that he had a good night with no complaints."
B) "Complained of being unable to sleep because he heard voices throughout the night."
C) "Had a typical night without incidence of insomnia or nightmares."
D) "Acted crazily throughout the night; kept hearing voices and noises."
B
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While teaching a patient about the signs of IV therapy–associated phlebitis, the nurse reminds the patient that the area will be:
a. warm, edematous, and red. b. painful and cyanotic. c. painless and numb. d. edematous and cool.
Which of the following are elevated with TB?
a. neutrophils c. monocytes b. lymphocytes d. eosinophils
A client has been admitted to the hospital after having a brain attack. What predisposing factor in this client's history places this client at risk for embolic stroke?
A. A history of seizures B. A history of psychotropic drug use C. A history of atrial fibrillation D. A history of cerebral aneurysm
In the clinical setting, the nurse makes clinical judgments based on all, except:
a. Specific data collected b. Potential patient problems c. The previous patient's experiences d. Actual patient problems