Parents bring a 15-year-old boy into the clinic. The parents tell the nurse that there is a family history of schizophrenia and they fear their son has developed the disease
What symptoms, if described by the family, would support their conclusion? A) "He hears and interacts with voices no one else can hear."
B) "He is overactive and always so excitable."
C) "He falls asleep in the middle of a sentence."
D) "He cannot concentrate and his grades are suffering."
A
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Characteristics of schizophrenia include hallucinations, paranoia, delusions, speech abnormalities, and affective problems. Overactivity and excitement are associated with mania. Falling asleep suddenly describes narcolepsy. Difficulty concentrating and failing grades is associated with attention deficient disorders.
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A nurse who provides care in a campus medical clinic is performing an assessment of a 21-year-old student who has presented for care. After assessment, the nurse determines that the patient has a BMI of 45. What does this indicate?
A) The patient is a normal weight. B) The patient is extremely obese. C) The patient is overweight. D) The patient is mildly obese.
An older client is prescribed an inhaled corticosteroid as part of treatment for asthma. What will the nurse instruct the client about the use of this medication? Select all that apply.
1. It can cause oral thrush or candidiasis. 2. Use a spacer when taking this medication. 3. It has no effect on any other health problems. 4. Rinse the mouth and spit after using this medication. 5. It is the most effective anti-inflammatory treatment for asthma.
With which of the following clients should the nurse be prepared to administer bicarbonate intravenously?
A. 25-year-old client with an acute asthma attack who has the following arterial blood gases: pH 7.28, HCO3– 22 mEq/L, PCO2 52 mm Hg, PO2 82 mm Hg B. 25-year-old client with excessive diarrhea who has the following arterial blood gases: pH 7.28, HCO3– 16 mEq/L, PCO2 45 mm Hg, PO2 98 mm Hg C. 65-year-old client with chronic emphysema and bronchitis who has the following arterial blood gases: pH 7.30, HCO3– 30 mEq/L, PCO2 60 mm Hg, PO2 72 mm Hg D. 65-year-old client with a urinary tract infection and type 2 diabetes who has the following arterial blood gases: pH 7.31, HCO3– 20 mEq/L, PCO2 34 mm Hg, PO2 96 mm Hg
The second component of a two-part nursing diagnosis is/are the
a. problem statement c. defining characteris-tics b. etiology d. signs and symptoms