The nurse assesses a 12-year-old boy who has been diagnosed with bipolar disorder. Which behaviors should the nurse most expect to observe in this child? (Select all that apply.)
A) Irritability
B) Distractibility
C) Screaming
D) Rage episodes
E) Sleep disturbances
Ans: A, C, D, E
Feedback:
In contrast to attention-deficit/hyperactivity disorder (ADHD), which is characterized by impulsivity and distractibility, almost 75% of the children diagnosed with bipolar disorder have a predominance of mood symptoms such as irritability, sleep disturbances, and anxiety. For a child with bipolar disorder, the slightest frustration can set off a flood of crying, screaming, or anxiety symptoms. Unlike toddlers who have temper tantrums that are time limited, children with bipolar disorder can have rage episodes that can last from 2 to 3 hours.
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Which of the following is most accurate regarding evidence-based practice?
a. Evidence-based practice replaces conti-nuous quality improvement. b. Evidence-based practice began with med-icine and assists in determining which medical models can be applied in nursing practice. c. Effective and efficient care can already be demonstrated, which means that EBP will soon become redundant. d. EBP is generally recognized across dis-ciplines and by policymakers as state-of-the-art clinical practice.
Which nursing action is most appropriate when treating a child who has a fever of 102.5° F?
a. Restrict fluid intake. b. Administer an aspirin. c. Administer an antipyretic such as acetaminophen. d. Bathe the child in tepid water.
Bethanechol (Urecholine) has been prescribed for a client, who asks the nurse what the side effects of this drug are. Which side effects are related to this drug? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1. Abdominal cramping 2. Hypotension 3. Increased salivation 4. Hypertension 5. Urinary retention
The nurse is caring for a client who had a knee replacement completed 2 days ago. When changing the knee dressing, the nurse notes that the incision appears red and feels warm to the touch. The client's temperature is now 100.6 degrees F and the client states that the knee hurts worse now than it did the day after surgery. After calling the surgeon, the nurse anticipates which to be ordered for this client?
A. Keep the client NPO and prepare for the client to be returned to surgery. B. Restart the client's IV and give fluids and pain medication. C. Culture any drainage that is present and administer fluids and antibiotics. D. Provide anticoagulant therapy and place the client on oxygen.