Which documentation indicates that the treatment plan for a patient diagnosed with acute mania has been effective?
a. "Converses with few interruptions; clothing matches; participates in activities."
b. "Irritable, suggestible, distractible; napped for 10 minutes in afternoon."
c. "Attention span short; writing copious notes; intrudes in conversations."
d. "Heavy makeup; seductive toward staff; pressured speech."
ANS: A
The descriptors given indicate the patient is functioning at an optimal level, using appropriate behavior, and thinking without becoming overstimulated by unit activities. The incorrect options reflect manic behavior.
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1. Increased number of immigrants to the country 2. Increased number of births in the 1980s 3. Decreased baby boomer births in the early 1950s 4. Increase in life expectancy 5. Increase in the cost of health care
Which assessment finding should the nurse realize as being a cause for gastroesophageal reflux disease (GERD) occurring more commonly in older adults?
1. Increased amounts of saliva 2. Increased incidence of hiatal hernia 3. Tightening of the lower esophageal sphincter 4. The increase in peristalsis that occurs in the esophagus
The nurse would counsel a diabetic client who has developed nephropathy that the best dietary alteration to manage this complication is a
a. high-calorie diet. b. high-fat diet. c. low-carbohydrate diet. d. low-protein diet.
A 14-year-old girl is admitted to the ER with a suspected overdose of an unknown drug. Arterial blood gasses (ABG) are drawn with the following results: pH 7.31, PO2 88, PCO2 59, HCO3 22 . Identify the initial action to be taken by the nurse
a. Insert a large-gauge nasogastric tube for gastric lavage. b. Insert a Foley catheter and obtain a urine for drug screen. c. Use a manual ventilator (ambu-bag) to assist with ventilation. d. Attach the client to a cardiac monitor and watch for dysrhythmia.