A psychotic client reports to the evening nurse that the day nurse put something suspicious in his water with his medication. The nurse replies, "You’re worried about your medication" The nurse’s communication is
A. an example of presenting reality.
B. reinforcing the client’s delusions.
C. focusing on emotional content.
D. a nontherapeutic technique called mind readin
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Nursing implications for a client taking central nervous system (CNS) stimulants include monitoring the client for which of the following conditions
A. Hyperpyrexia, slow pulse, and weight gain.
B. Tachycardia, weight loss, and mood swings.
C. Hypotension, weight gain, and listlessness.
D. Increased appetite, slowing of sensorium, and arrhythmias.
An adolescent client immobilized in a spica cast complains of having trouble breathing after meals. Which of the following actions would be best
A. Encourage the client to drink more between meals.
B. Teach the adolescent purse&lip breathing.
C. Give the client a laxative after meals.
D. Offer the client small feedings several times a day.
Which of the following is appropriate to include in a teaching plan for a 9-year-old who has had diabetes for several years
A. Beginning recognition of symptoms of hypoglycemia.
B. Measurement of insulin accurately in the syringe.
C. Beginning ability to give own injections with adult supervision.
D. Assumption of responsibility for self-car
During a panic attack, a client runs to the nurse and reports breathing difficulty, chest pains, and palpitations. The client also is pale and has a wide open mouth and raised eyebrows. What should the nurse do first
Assist with deep breathing into a paper bag.
B. Orient the client to person, place, and time.
C. Set limits for acting out delusional behaviors.
D. Administer an anxiolytic agent IM.