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Before administering IPPB, the RT notes subcutaneous emphysema around the neck tissues of the patient.  Which of the following should the therapist do at this time?

LP is prescribed nortriptyline (Pamelor) as part of a treatment protocol to treat symptoms associated with depression including decreased appetite, depressed mood, frequent wakening, psychomotor retardation and loss of pleasure in all activities. To promote medication adherence and safety, the nurse provides the following education to the patient:

JR was recently admitted to the hospital for the first time with auditory hallucinations, confused thinking with racing thoughts, agitation, delusions of grandeur, rapid speech, and reduced need for sleep. The medication regime prescribed for this individual might include:

NT, a 32 year old patient recently admitted to a locked unit is status post suicide attempt (overdose) after a recent break-up with her girlfriend. She has a history of depression but has never been in treatment. She asks you what is currently considered the best approach to assist people living with depression. The best response would include: 

The RN on the evening shift has noticed subtle changes in the behavior of KO, (a 51-year-old women diagnosed with schizophrenia, paranoid type) over the past several days. Her observations include facial grimacing, jaw swinging, repetitive chewing and an elevated temperature.  Benztropine (Cogentin) 2mg intramuscular (IM) was given 60 minutes ago. No changes in behavior were noted. These symptoms may be a result of:

The nurse observes that her patient, a 37 year old male diagnosed with major depressive disorder sat a a table with two other patients during lunch. Which is the best feedback the nurse could give the patient?

When educating the patient about taking lithium carbonate, the RN should include the following information:

Your patient is taking a second-generation (atypical) antipsychotic medication. The patient’s spouse tells you that he read that the drug is effective in treating negative symptoms of schizophrenia and asks you to explain what these are. How would you respond to this family member?

**Begin Lita’s Case Study** Lita comes to your unit as a triage patient for complaint of abdominal cramping.  It’s Sunday and her provider’s office is closed, so you don’t have her prenatal records available. Lita is a 25-year-old African American woman who lives with her partner and their 1-year-old daughter who was born at 32 weeks gestation.  Lita works as a server at a restaurant and lives in Miami, but is considering relocating to be closer to family.  She smokes on occasion, but denies using illicit drugs or drinking alcohol. She had one pregnancy loss at 21 weeks gestation.  She tells you that this pregnancy has been uneventful and she started prenatal care but has only had two visits so far but she knows that she is 25 weeks along because she keeps track using an app.  She started taking classes at Miami Dade College but had to withdraw this semester.  She says that she’s healthy and has felt well during this pregnancy so far.  Her last visit to the dentist was while she was in high school but states she is meticulous in her oral care. List five risk factors identified for preterm labor (PTL) in Lita’s history.  Each correct risk factor is worth one point for a total of 5 points.

Anne is seen in the high risk clinic at 38 weeks.  She denies visual changes, RUQ pain.  She reports a mild pressure in her head and her swelling has increased.  She has been taking the methyldopa as ordered but is finding it difficult to maintain bedrest.  Her urine shows +3 proteinuria.  She has increased peripheral edema at 2+ and facial edema is noted on examination.  Blood pressure taken after five minutes of rest and with the patient sitting and the cuff at the level of the heart:  150/102 R arm and 148/100 in the L arm using a manual blood pressure cuff.  The patient is sent to the OB unit for further evaluation and she is assigned to you upon her arrival.  Which of the following nursing assessments is appropriate on admission?  Select all that apply.