A client with bipolar disorder is admitted to the psychiatric unit. The client is talking loudly, walking back and forth rapidly, and exhibiting a short attention span. Which of the following would the nurse do first?
A) Decrease the client's environmental stimuli.
B) Give the client feedback about his behavior.
C) Introduce the client to other staff on the unit.
D) Tell the client about hospital rules and policies.
A
Feedback: When the client is agitated, decreasing stimuli is the priority. Answers B, C, and D are not priority interventions.
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A client with a colostomy is concerned with the odor that is left on the ostomy appliance and believes it may be caused by some of the medication that they take
What suggestion should the nurse provide to the client to determine if her medication is causing this problem? A) The client should abstain from her medications, reintroducing them one at a time to see which one is causing the odor. B) The client should abstain from taking any over-the-counter vitamin preparations because they are most likely the offending medication. C) The client can obtain a list of drugs from an ostomy association or appliance manufacturers. D) All colostomies have an offensive odor, and it is probably not the medication that is causing it.
The nurse is conducting discharge teaching with the parent of a 7-year-old child with minimal change nephrotic syndrome (MCNS). What statement by the parent indicates a correct understanding of the teaching?
a. "My child needs to stay home from school for at least 1 more month." b. "I should not add additional salt to any of my child's meals." c. "My child will not be able to participate in contact sports while receiving corticosteroid therapy." d. "I should measure my child's urine after each void and report the 24-hour amount to the health care provider."
As the nurse, you are developing a discharge plan for a client who has had valve replacement surgery and is on warfarin. You know the client understands the plan when she states:
1. "I need to report bruising, bleeding, epistaxis, and hemoptysis to my health care provider.". 2. "I need to eat large amounts of yellow and dark green vegetables.". 3. "I should take aspirin and anti-inflammatory drugs (NSAIDs) for pain.". 4. "I should avoid red meat.".
A nursing instructor asks a student, "What is it called when there is a separation of an old cesarean scar but it does not result in protrusion of fetal parts into the peritoneal cavity?"
The student is correct if the student answers which of the following? a. Dehiscence c. Incomplete uterine rupture b. Compete uterine rupture d. Uterine tear