In providing care to a patient with encephalitis, the nurse recognizes which medication is indicated to treat this disorder?
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Part 2 of 3 Nurses’ Notes Client admitted to the emergency d…
Part 2 of 3 Nurses’ Notes Client admitted to the emergency department with a 2-day history of lethargy, nausea, vomiting, anorexia, headache, and general muscle aches. The client reports diarrhea, abdominal pain, and a sore throat. Pupils are 3 mm, equal and reactive to light. Intermittent nystagmus noted. Client reports sensitivity to light. Client is lethargic, but arouses easily and is oriented to person, place, and time. Hand grasps are strong and equal bilaterally. Bilateral breath sounds are clear and present throughout. Apical pulse is regular. Skin is warm and dry. Pinpoint, red, macular rash noted on upper chest. Abdomen is distended, bowel sounds are present in 4 quadrants. Vital Signs Temperature 38.9º C (102º F)Blood pressure 168/80 mm HgHeart rate 118/minRespiratory rate 24/minOxygen saturation 95% on room air Which TWO interventions are most important for this client?
The nurse is planning discharge instructions for a patient r…
The nurse is planning discharge instructions for a patient recovering from surgery for a brain tumor. What is the rationale for teaching the patient about self-monitoring of capillary blood glucose level?
The nurse assesses a patient who is admitted after a traumat…
The nurse assesses a patient who is admitted after a traumatic brain injury (TBI) to the frontal lobe. The nurse correlates which clinical manifestations to damage to this area of the brain?
A nurse is caring for a client who requires intervention for…
A nurse is caring for a client who requires intervention for acute crisis. Which of the following actions is the highest priority?
Which of the following is the desired outcome of working wit…
Which of the following is the desired outcome of working with an individual who has witnessed a traumatic event and is now experiencing panic anxiety?
Which of the following behavioral patterns is characteristic…
Which of the following behavioral patterns is characteristic of individuals with narcissistic personality disorder?
A nurse is caring for a client who is prescribed alprazolam,…
A nurse is caring for a client who is prescribed alprazolam, a benzodiazepine for managing severe manifestations of anxiety. Which of the following should the nurse prepare to discuss with the client?
Which describes the primary focus of milieu therapy?
Which describes the primary focus of milieu therapy?
Part 1 of 3 A nurse is caring for a client who has schizophr…
Part 1 of 3 A nurse is caring for a client who has schizophrenia. Medical History Client admitted with long-standing history of non-adherence to medication regime (haloperidol 40 mg PO daily) and recreational drug use. Client presents with positive symptoms including disorganized and bizarre thoughts, persecutory delusions, and use of neologisms. Will start client on haloperidol 10 mg IM every 6 hr while hospitalized. Vital Signs Blood pressure: 192/100 mm Hg Temperature 39.6º C (103.3º F) Heart rate: 126/min Respiratory rate: 24/min O2 saturation: 92% on room air Nurses Notes Client found lying on bed in room. Sluggish response to verbal commands. Incontinent of urine. Skin diaphoretic and hot to touch. Extremities are rigid. Vital signs obtained and provider notified. Which condition is this patient most likely experiencing?