When a hyperactive manic client expresses the intent to strike another client, the initial nursing intervention should be
A. questioning client motive.
B. verbal limit setting.
C. physical confrontation.
D. seclusion.
Ans: B. verbal limit setting.
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The physician orders a urinalysis and urine culture. To obtain the urine specimen, the nurse would first instruct the patient about
a. collecting the urine for a 24 hour period. b. obtaining a clean-catch specimen. c. bringing in an early morning specimen. d. limiting fluid intake to concentrate the urine.
You are an oncology nurse caring for a client who is taking antineoplastic agents. What adverse symptoms must you monitor for in this client?
A) Symptoms of gout B) Symptoms of hypertension C) Symptoms of diarrhea D) Symptoms of anemia
A child with hemophilia is crying and complaining of pain. What should the nurse to do to relieve the child's pain?
A) Give aspirin as ordered B) Immobilize the affected extremity C) Distract the child with an age-appropriate activity D) Have the child do range-of-motion exercises
A patient has been on bedrest following a motor vehicle accident. The nurse notes on assessment that the patient's left lower extremity has edema and is warm to the touch. The patient reports the calf of the left leg is slightly painful. The nurse suspects that this assessment may indicate which disorder?
a. Raynaud's syndrome b. Cellulitis c. Aneurysm d. Venous thromboembolism