A client with paranoid schizophrenia stops in mid-sentence when talking. The client tilts his head to the side to listen and reports hearing voices. Which is the most appropriate nursing intervention?
A) Report the behavior to the physician.
B) Give the client a dose of benztropine (Cogentin?).
C) Ask the client, "What are the voices saying to you?"
D) Tell the client, "Well, I see you are distracted right now. We'll talk later."
C
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The nurse assesses that a patient with cirrhosis is deteriorating when there is evidence of:
a. an increase in urine output related to the effect of the diuretics. b. a decrease in total bilirubin. c. confusion related to rising ammonia levels. d. a decrease in jaundice.
The educator is discussing pain transmission with the nurse. Which statement made by the nurse indicates an understanding of the process?
A. "The transmission process begins with the activation of substance P." B. "The transmission process begins with the A and C fibers." C. "The transmission process begins with the nociceptors." D. "The transmission process begins with the sensory neurons in the spinal cord."
The most significant effect of bacteria in the mouth is fermentation of
a. dietary fiber, which promotes formation of beneficial short-chain fatty acids. b. dietary fiber, which increases intestinal gas production. c. simple carbohydrates, which promotes production of sugar alcohols and causes halitosis. d. simple carbohydrates, which promotes formation of plaque and tooth decay.
A low-income patient without insurance has been prescribed several different medications over several months for seizure control without any improvement. The patient indicates she has not experienced any adverse effects. At this point the nurse should
1. recommend nontypical drug use. 2. inform the patient that it might take years for the medications to work. 3. assess for medication compliance. 4. advise the patient to double the current dose.