The nurse recognizes the client in the emergency department…
The nurse recognizes the client in the emergency department from a picture in the local paper. The client has recently received a major scholarship for high academic achievement. The client tells the nurse that he hears voices that tell him he is worthless. He has tried to kill himself. What statement is the most appropriate for the nurse to use first when attempting to establish a therapeutic relationship?
Read DetailsA 28-year-old client is admitted to the emergency department…
A 28-year-old client is admitted to the emergency department with sudden onset of neck stiffness, jaw clenching, and upward rolling of the eyes. The client reports being started on a new medication 24 hours ago for schizophrenia. Which medication most likely caused this reaction, and what is the priority treatment?
Read DetailsA client is scheduled for surgery. The nurse witnesses the s…
A client is scheduled for surgery. The nurse witnesses the surgeon obtain informed consent. After the surgeon leaves, the client states, “I don’t really understand what the risks are, but I signed it because I trust the doctor.” What is the nurse’s best action?
Read DetailsA client with acute stress disorder states to the nurse, “I…
A client with acute stress disorder states to the nurse, “I keep having horrible nightmares about the car accident that killed my daughter. I should not have taken her with me to the store.” Which response by the nurse is most therapeutic?
Read DetailsA nurse is providing medication education to a client who ha…
A nurse is providing medication education to a client who has a new prescription for fluoxetine. The nurse instructs the client to seek immediate medical attention if manifestations of neuroleptic malignant syndrome (NMS) occur. Which of the following findings should the nurse include in the teaching? Select all that apply.
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