While assessing a client's spinal status, the nurse notes a lateral deviation in the vertical line of the spine. This is called:
a. kyphosis. c. a spinal list.
b. lordosis. d. scoliosis.
ANS: D
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A client who is being treated for psychosis has begun exhibiting signs of increasing agitation and has started repetitively opening and slamming the door to the client's room
Which of the following nursing interventions address and redirect the client's behavior? Standard Text: Select all that apply. 1. "You need to stop slamming your door and go down the hall to the group meeting." 2. "How about taking a walk with me so we can find a place for you to let go of some of your nervous energy." 3. "I can see that you have some excess energy that you need to get out, but you cannot continue to slam this door." 4. "You seem upset, would you like some medication to help you with your agitation?" 5. "If you don't stop slamming the door, I will lock it for the rest of the day."
A patient who is being treated for onchocerciasis with ivermectin (Stromectol) has a Mazotti reaction. Which assessment finding or findings would the nurse expect? (Select all that apply.)
a. Fever b. Nausea and vomiting c. Rash with pruritus d. Blurred vision e. Bone and joint pain
A client reports symptoms of morning headache that extends into the neck that goes away as the day wears on. The nurse realizes this client is describing:
1. A migraine headache. 2. A sinus headache. 3. Spinal stenosis. 4. A symptom of hypertension.
A client who has been hospitalized for mania in the past is laid off from her job. She becomes very depressed, refuses to look for another job, stays in her room, eats very little, and neglects her personal hygiene
The client is found unconscious, but still breathing, with an empty bottle of sertraline (Zoloft) beside her. She is stabilized in an emergency department and is then admitted to a psychiatric unit with a diagnosis of bipolar I disorder, current episode depressed. Which should be the priority nursing diagnosis for this client? A) Imbalanced nutrition, less than body requirements, related to refusal to eat B) Anxiety (severe) related to threat to self-esteem C) Risk for suicide related to depressed mood D) Complicated grieving related to loss of employment