The intake data for an 11-year-old child notes the probability of Asperger syndrome. The nurse will
expect to assess
a. absence of verbal language.
b. presence of tics and twitching.
c. severe developmental delays.
d. limited social skills and empathy.
D
Most children with Asperger's syndrome manifest poor social skills and problems empathizing with
others as their major behavioral symptoms. Option A: Verbal skills are rarely impaired. Option B:
Tics and twitching are more often a part of the clinical picture of Tourette's syndrome. Option C:
Severe developmental delays are part of the clinical picture of autism rather than Asperger's
syndrome.
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For which patient should you question the order for cyclobenzaprine (Flexeril)?
a. 25-year-old man with severe back spasms who also has epilepsy b. 66-year-old man with spasms from collapsed vertebrae who also has prostate cancer c. 45-year-old woman with muscles spasms and a broken femur who also has hypotension d. 28-year-old woman with severe leg muscle spasms from a pinched nerve who is 7 months pregnant
The nurse is caring for a woman with premature rupture of membranes. The physician has determined that the risk of delivery is greater than the risk of continuing the pregnancy because the woman is at 28 weeks' gestation
The nurse's primary focus of nursing care would be to: A) provide support to reduce the mother's anxiety. B) assess the degree of childbirth preparation the client has had. C) provide diversional activities. D) prevent infection.
The nurse is teaching the client about weight management, and the client wants to know how the nurse manages to stay "so thin.". Which response should the nurse use to maintain therapeutic communication?
1. State that nurses cannot discuss personal information with clients 2. Describe a daily routine of walking the family's dog to the local park 3. Recognize the question and redirect the discussion to weight management 4. Explain the client needs a background in health care to use the nurse's plan
A patient who has been prescribed prochlorperazine (Compazine) calls the clinic and reports pink-tinged urine. What is the nurse's best action?
a. Ask the patient whether grapefruit or grapefruit juice has been ingested within the last 24 hours. b. Remind the patient to drink more water to prevent this drug from damaging the kidneys. c. Reassure the patient that this is an expected side effect of the drug and needs no action. d. Instruct the patient to hold the next drug dose and notify the prescriber imme-diately.