A 20-year-old woman calls the clinic at 5 PM and reports to the nurse that she forgot to take her morning dose of fexofenadine (Allegra). She usually takes her evening dose at 8 PM. She wants to know what she should do
The nurse will instruct her to
A) double her evening dose.
B) skip the evening dose and start back in the morning.
C) forget about the morning dose and take the evening dose.
D) take the morning dose now and the evening dose at the regular time.
C
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In planning care for a client who is gaining mental stability, the nurse develops measures to confirm the client's view of self. Which of the following responses made by the nurse would be categorized as disturbed communication?
1. "I do not understand what you are telling me." 2. "You are wrong." 3. "How might you go about that differently?" 4. "Do you want to try that again?"
When expected nutritional outcomes are not being met, the nurse should
a. Revise the nurse measures or expected outcomes. b. Alter the outcomes based on nursing standards. c. Ensure that patient expectations are con-gruent with the nurse's expectations. d. Readjust the plan to exclude cultural be-liefs.
A highly agitated client paces the unit and states, "I could buy and sell this place." The client's mood fluctuates from fits of laughter to outbursts of anger. Which is the most accurate documentation of this client's behavior?
A. "Rates mood 8/10. Exhibiting looseness of association. Euphoric." B. "Mood euthymic. Exhibiting magical thinking. Restless." C. "Mood labile. Exhibiting delusions of reference. Hyperactive." D. "Agitated and pacing. Exhibiting grandiosity. Mood labile."
A client with an infection in the ears visits a healthcare facility. The client wants to know the cause of the infection
Based on this data collection from the client, which reason should the nurse identify as the most likely cause of the ear infection to the client? A) Insertion of a pointed object in the ear B) Infection in the sebaceous gland C) Secretion from the eccrine glands D) Accumulation of cerumen