Which outcome is most realistic and appropriate in planning care for any newly diagnosed client with anxiety?
a. Plans coping strategies for anxious situations
b. Discusses the reasons for episodes with significant others
c. Establishes two new social relationships
d. Verbalizes that he is episode free
ANS: A
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Which of the following must be created before establishing the evaluation plan for a health project?
a. A clear set of both short-term and long-term goals b. Decision as to who will collect the evaluation data c. Observable and measurable objectives d. Setting up a computer program to analyze the evaluation data
Your ESRD patient is receiving 2 units of packed red blood cells for anemia (Hgb of 8.2). Twenty minutes into the first transfusion, the nurse observes the patient has a flushed face, hives over upper body trunk, and is complaining of pain in lower back
His vital signs include pulse rate of 110 and BP drop to 95/56. What is the nurse's priority action? A) Slow the rate of the blood infusion to 50 mL/hour. B) Document the assessment as the only action. C) Discontinue the transfusion and begin an infusion of normal saline. D) Recheck the type of blood infusing with the chart documentation of patient's blood type.
The nurse is admitting a client to their room at the hospital and observes that the client's skin and sclera are jaundice. What does the nurse expect the client's total bilirubin levels to be?
A) 0.2 mg/dL B) 1.0 mg/dL C) 2.0 mg/dL D) 3.0 mg/dL
A patient who is hospitalized for an acute gout attack has received several doses of hourly oral colchicine but still reports moderate to severe pain. As the nurse prepares to administer the next dose, the patient begins vomiting
What will the nurse do? a. Contact the provider to discuss giving a lower dose of colchicine. b. Hold the medication and notify the pre-scriber. c. Explain that this is a common side effect that will soon stop. d. Request an order for an antiemetic so that the next dose of colchicine may be given.