An inpatient client with a known history of violence suddenly begins to pace. Which client behavior should alert a nurse to escalating anger and aggression?
A. The client requests prn medications.
B. The client has a tense facial expression and body language.
C. The client refuses to eat lunch.
D. The client sits in group therapy with back to peers.
B
The nurse should assess that tense facial expressions and body language may indicate that a client's anger is escalating. The nurse should conduct a thorough assessment of the client's past and current violent behaviors and develop interventions for de-escalation.
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1. ask a volunteer from the American Cancer Society or United Ostomy Association to visit. 2. ask a volunteer from the Reach for Recovery Society to visit. 3. send a close family member for psychiatric counseling. 4. obtain humor books pertaining to illness, such as Anatomy of an Illness, or watch several episodes of "Three Stooges" on TV.
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A. The client's hemoglobin is increased. B. The client reports less shortness of breath on exertion. C. The client has not had an episode of epistaxis in over 3 weeks. D. The client reports enjoying a light exercise. E. The client has not had a fever since treatment began.
Maria is a perioperative nurse who is admitting a patient for an elective surgery. She asks about a family history of malignant hyperthermia, which is a life-threatening complication. Which of the following is a late sign of malignant hyperthermia?
A. High CO2 levels B. Tachycardia C. Elevated temperature D. Tachypnea