Signs of an impending catastrophic reaction are

A. increased physical activity.
B. sullen and withdrawn behavior.
C. explosive behavior and physical violence.
D. laughing and joking with others.


Answer: C

Nursing

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While auscultating heart sounds of a patient with heart failure, the nurse hears an extra heart sound immediately after the second heart sound (S2). The nurse should document this as a:

A) First heart sound (S1) B) Third heart sound (S3) C) Fourth heart sound (S4) D) Murmur

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What do the clinical manifestations of minimal change nephrotic syndrome include?

a. Hematuria, bacteriuria, and weight gain b. Gross hematuria, albuminuria, and fever c. Hypertension, weight loss, and proteinuria d. Massive proteinuria, hypoalbuminemia, and edema

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If a patient is receiving divided doses of tobramycin, what time should a blood sample be obtained for determination of a trough level of the drug, which is to be administered at 1000?

a. 1130 b. 0945 c. 1200 d. 1030

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A patient has had an open repair of a thoracic aortic aneurysm. What does the nurse monitor for in this patient and immediately report to the surgeon?

a. Productive cough when using the incentive spirometer b. Increased drainage from chest tubes c. Sternal pain with coughing and deep breathing d. Increased urinary output from the indwelling catheter

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