A 67-year-old male client has been complaining of sleeping more, increased urination, anorexia, weakness, irritability, depression, and bone pain that interferes with her going outdoors. Based on these assessment findings, nurse Richard would suspect which of the following disorders?
a. Diabetes mellitus
b. Diabetes insipidus
c. Hypoparathyroidism
d. Hyperparathyroidism
Ans: d. Hyperparathyroidism
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An inpatient psychiatric unit has been operating at an unusually high acuity level over the past week resulting in numerous incidents of seclusion or restraint
A review of each violent event reveals that appropriate crisis management strategies were implemented and unit policy followed. What action is most appropriate? 1. No action is necessary; the staff is following policy appropriately. 2. Create a rotating schedule to allow staff to leave the unit for frequent brief breaks to alleviate stress. 3. Identify the characteristics of the aggressive clients so that admission criteria can be adjusted to reduce risk of violence. 4. Have an expert speak to staff about seclusion and restraint reduction strategies.
Which of these statements about patient-controlled analgesia (PCA) is TRUE?
a. Clients receiving PCA must be monitored for overdose side effects. b. Health care professionals allocate time for setting up and maintaining PCA when in use. c. PCA can only be administered via the epidural route. d. PCA can safely be used in pediatric and home health settings.
The inflammatory response is an important nonspecific component of the immune system that is elicited in response to tissue injury or pathogens
A nurse is aware that dysfunctional inflammatory responses are responsible for numerous pathophysiological conditions. Which of the following patients most clearly exemplifies this? A) A 71-year-old woman who uses a quad cane because of mobility limitations brought on by rheumatoid arthritis B) A male patient who has begun chemotherapy after the discovery of colorectal cancer that has metastasized to his liver C) A woman who frequently experiences gastroesophageal reflux disease (GERD) after meals D) A 59-year-old man who has required the insertion of a urinary catheter because of urinary retention that resulted from benign prostatic hyperplasia (BPH)
A patient has experienced burns to his upper thighs and knees. Following the application of new wound dressings, the nurse should perform what nursing action?
A) Instruct the patient to keep the wound site in a dependent position. B) Administer PRN analgesia as ordered. C) Assess the patient's peripheral pulses distal to the dressing. D) Assist with passive range of motion exercises to "set" the new dressing.