An intramuscular injection of an antianxiety agent is administered to a client who has become violent toward the staff in the emergency room. This is an example of what level of therapeutic intervention?
a. One
b. Two
c. Three
d. Four
C
Level three interventions also include seclusion and restraints and are used only for clients who are out of control. Level one is the prevention stage of interventions, and level two is focused on protection of the client and others from potential harm. Level four does not exist.
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Two days after surgery for a crushed pelvis, a certified nursing assistant (CNA) reports that the patient is complaining of a shortness of breath and is demonstrating signs of confusion and res-tlessness
What should a nurse suspect, from these signs alone, that the patient has developed? a. Impending shock b. Fat embolus c. Anxiety d. Neurovascular compromise
When preparing a program for college women on human papillomavirus (HPV), which concept should the nurse keep in mind?
A) The time from HPV infection to diagnosis of cervical cancer is 5 years. B) HPV prevalence peaks in women following menopause. C) HPV incidence has been steadily increasing in women in their 30s and 40s. D) HPV is most common in women in their early 20s
A 24-year-old woman is admitted to the hospital for a complete medical examination. Her current complaints are indicative of systemic lupus erythematosus (SLE). Which of the fol-lowing symptoms would indicate this diagnosis?
1. Recent weight gain of 10 pounds 2. Difficulty breathing in the morning 3. Frequent episodes of diarrhea 4. Musculoskeletal pain in the hands
A client presents to the labor and birth area for emergent birth. Vaginal exam reveals that the client is fully dilated, vertex, +2 station, with ruptured membranes
The client is extremely apprehensive because this is her first childbirth experience and asks for an epidural to be administered now. What is the priority nursing response based on this client assessment? a. Use contact anesthesia for an epidural and prepare the client per protocol. b. Tell the client that she will not need any pain medication because the birth will be over in a matter of minutes and the pain will stop. c. Assist the client with nonpharmacologic methods of pain distraction during this time as you prepare for vaginal birth. d. Call the physician for admitting orders.