A nurse is assessing a client with schizophrenia who begins pacing the hallway, appears increasingly restless, and repeatedly clenches both fists while mumbling, “They’re trying to make me angry.” Which phase of the aggression cycle is the client most likely experiencing?
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A nurse is caring for a client who is trembling, crying, una…
A nurse is caring for a client who is trembling, crying, unable to solve simple problems, and does not respond when the nurse attempts redirection. Which nursing intervention is highest priority?
The provider prescribes ceftriaxone 1 g IVPB every 24 hours….
The provider prescribes ceftriaxone 1 g IVPB every 24 hours. The medication is supplied in 100 mL normal saline and must infuse over 30 minutes. How many mL/hr should the nurse set the IV pump? Round to the nearest whole number. [BLANK-1]
A nurse is caring for a client with posttraumatic stress dis…
A nurse is caring for a client with posttraumatic stress disorder (PTSD) who reports persistent anxiety, intrusive memories, and sleep disturbances despite participating in psychotherapy. Which medication should the nurse anticipate the healthcare provider may prescribe as first-line pharmacologic treatment?
The provider prescribes 1,000 mL lactated Ringer’s IV to inf…
The provider prescribes 1,000 mL lactated Ringer’s IV to infuse over 8 hours. The IV tubing has a drop factor of 20 gtt/mL. How many gtt/min should the nurse regulate the IV flow? Round to the nearest whole number. [BLANK-1]
A nurse is caring for a client with generalized anxiety diso…
A nurse is caring for a client with generalized anxiety disorder who needs rapid, short-term relief of severe anxiety while beginning psychotherapy. Which medication should the nurse anticipate the healthcare provider to prescribe?
A nurse is assessing a high school student who reports exper…
A nurse is assessing a high school student who reports experiencing repeated cyberbullying over several months. Which assessment finding is the highest priority and requires the nurse’s immediate follow-up?
A nurse is caring for a client who recently experienced the…
A nurse is caring for a client who recently experienced the death of a child. Which nursing intervention is most appropriate during the initial phase of grieving?
A nurse is caring for an older adult whose caregiver refuses…
A nurse is caring for an older adult whose caregiver refuses to leave the examination room. The client appears withdrawn, has poor hygiene, multiple bruises, and several unpaid utility bills despite adequate income. Which nursing action is the highest priority?
A nurse is interviewing a client who discloses intimate part…
A nurse is interviewing a client who discloses intimate partner violence. Which nursing action should the nurse take next?