A 28-year-old female client is brought to the mental health unit accompanied by her
mother. The mother reports that the client exhibits irritability and marked impulsivity.
The healthcare provider suspects the client has borderline personality disorder and
instructs the nurse to observe the client's behavior. What symptom should the nurse look
for in the client?
A) Suicide gestures and self-injurious behavior
B) Excessive emotion and attention-seeking behavior
C) Need for admiration and lack of empathy
D) Inability to stay with other people
A
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A client is in the hospital and receiving IV antibiotics. When the nurse answers the client's call light, the client presents an appearance as shown below:
What action by the nurse takes priority? a. Administer epinephrine 1:1000, 0.3 mg IV push immediately. b. Apply oxygen by facemask at 100% and a pulse oximeter. c. Ensure a patent airway while calling the Rapid Response Team. d. Reassure the client that these manifestations will go away.
In a patient receiving digoxin for SVT, the nurse must consistently monitor the patient for the development of:
a. low uric acid levels. b. hypercalcemia. c. hyponatremia. d. hypokalemia.
The perinatal nurse is aware of changes in women's and children's health settings that include: Select all answers that apply:
A) Increased patient acuity B) Increased liberalization of visiting policies C) A redesign of policies to include families D) A decreased patient population
When educating a student nurse about hospital identification bands, a nurse appropriately recognizes that additional teaching is warranted when the student nurse states:
1. "The hospital identification band displays the patient's name and birth date and the hospital identification number." 2. "I have taken care of this patient before, so I will not need to check the patient's identification band before administering medication." 3. "I should instruct the patient to state his or her name and verify that it matches the name on the hospital identification band." 4. "I should ask the patient to state his or her date of birth and verify that it matches the date of birth listed on the hospital identification band."