A nurse is documenting care in the chart of an inpatient psychiatric client. The nurse charts: "Refusing all group and individual interactions. States wants to be 'left alone.'" According to Focus Charting®, this is considered:
A) Data.
B) Focus.
C) Action.
D) Response.
A
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A nurse would recognize which treatment as most commonly used for AD and its appropriate rationale?
1. Psychotherapy; to examine the stressor and confront unresolved issues 2. Fluoxetine (Prozac); to stabilize mood and resolve symptoms 3. Eye movement desensitization therapy; to reprocess traumatic events 4. Lorazepam (Ativan); a first-line treatment to address symptoms of anxiety
You administered sublingual nitroglycerin (a vasodilator) and oxygen at 3 liters per minute for a client with angina. Which of the following results would help you conclude that these interventions were effective? The client:
1. stops coughing. 2. has clear lung sounds. 3. denies any chest pain. 4. has a flushed face and a slight headache.
_____________ pull fluid into the vascular space by osmosis, resulting in an increased vascular volume that possibly will result in pulmonary edema
Fill in the blanks with correct word
The nurse is collecting data on a patient with Chlamydia. Which assessment finding should be reported immediately to the RN or physician?
a. Vaginal discharge b. Painful urination c. Sharp pain at the base of the ribs d. Red conjunctivae