The nurse is caring for a patient with a diagnosis of catatonic schizophrenia. The behavior consistent with this diagnosis is the patient:
a. talks excitedly about going home.
b. suspiciously watches the staff.
c. stands on one foot for 15 minutes.
d. states he has a cat under his bed that talks to him.
C
Maintaining a rigid pose for long periods of time is an example of behavior expected from a catatonic schizophrenic.
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Following 2 days of increasing shortness of breath and a productive cough, a woman has been admitted to the hospital and subsequently diagnosed with community-acquired pneumonia
She has begun treatment with intravenous moxifloxacin (Avelox) The use of this drug should prompt the nurse to prioritize which of the following assessments? A) Cardiovascular assessment B) Integumentary assessment C) Cognitive assessment D) Gastrointestinal assessment
A nurse is caring for an adult patient diagnosed with a back strain. What health education should the nurse provide to this patient?
A) Avoid lifting more than one-third of body weight without assistance. B) Focus on using back muscles efficiently when lifting heavy objects. C) Lift objects while holding the object a safe distance from the body. D) Tighten the abdominal muscles and lock the knees when lifting of an object.
To improve outcomes on the stroke recovery unit, the unit manager leads an evidence-based practice (EBP) project. The goal of this project is to:
a. Enable detection of variations in clinical outcomes from well-researched standards that are supported by confirmatory evi-dence. b. Gain quick access to literature based on studies of patients and families who have experienced stroke. c. Develop a list of articles that could be ac-cessed to address clinical issues and prob-lems with stroke patients. d. Advance the development of staff who are able to conduct independent nursing research on stroke outcomes.
At her first prenatal visit, the client states, "I'm 5 weeks pregnant now and I would like to hear my baby's heartbeat today." How should the nurse respond?
1. Anticipate that the client will be scheduled for Doppler ultrasound. 2. Prepare to assist with auscultation of the fetal heartbeat using a fetoscope. 3 Explain to the client that the fetal heartbeat is not yet detectable at 5 weeks' gestation. 4. Explain to the client that the fetal heart does not begin to beat until approximately 7 weeks' gestation.