A client has compulsive cleaning behaviors, scrubbing areas throughout the house over and over, especially areas where the family gathers. It is most important for the nurse to assess:
1. For vomiting during cleaning.
2. The impact of symptoms on the family system.
3. How frequently the client cleans the house.
4. For forgetfulness.
2
Rationale: OCD impacts the family system especially with impaired role function. How frequently the client cleans the house and vomiting during cleaning may be important to assess, but they are not the most important. Forgetfulness is not a component of OCD.
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A nurse should read the instructions stated on a vial before reconstituting it and administering it to a client. Which of the following instructions are stated on the label of a vial?
A) Type of needle to be used for withdrawal B) Directions for administering the drug C) Best site for administering the drug D) Amount of diluent to be added
The physician diagnoses a 3 cm ovarian cyst in a 28-year-old woman. The nurse expects the initial treatment to include
a. Beginning hormone therapy b. Examining the woman after her next menstrual period c. Scheduling a laparoscopy as soon as possible, to remove the cyst d. Aspirating the cyst as soon as possible and sending the fluid to pathology
A 19-year-old patient presents to the emergency department with complaints of testicular inflammation and pain. Laboratory tests are performed. Which result does the nurse evaluate as consistent with the suspected diagnosis of orchitis?
1. WBC: 14,500/mm3 2. Urinalysis: no white blood cells noted 3. PSA: 12 ng/mL 4. Platelet count: 250,000
Ms. S reports that she is concerned about her loss of appetite. During the history, you learn that her last child recently moved out of her house to go to college. Rather than infer the cause of Ms. S's loss of appetite, it would be better to:
a. defer or omit her comments. b. have her husband call you. c. quote her concerns verbatim. d. refer her for psychiatric treatment.