Friday, 3 April 2020

Q. The client is taking risperidone (Risperdal) to treat the positive and negative symptoms of schizophrenia. Improvement of which of the following negative symptoms indicate the drug is effective?

A. Abnormal thought form.
B. Hallucinations and delusions.
C. Bizarre behavior.
D. Asocial behavior and anergia.

Correct Answer: D

Reason: Asocial behavior, anergia, alogia, and affective flattening are some of the negative symptoms of schizophrenia that may improve with risperidone therapy. Abnormal thought form is a positive symptom of schizophrenia. Hallucinations and delusions are positive symptoms of schizophrenia. Bizarre behavior is a positive symptom of schizophrenia.

Thursday, 2 April 2020

Question Of The Day, Mood, Adjustment, and Dementia Disorders
Q. The wife of a 67-year-old client who has been taking imipramine (Tofranil) for 3 days asks the nurse why her husband isn't better. The nurse should tell the wife:

A. "It takes 2 to 4 weeks before the full therapeutic effects are experienced."
B. "Your husband may need an increase in dosage."
C. "A different antidepressant may be necessary."
D. "It can take 6 weeks to see if the medication will help your husband."

Correct Answer: A

Reason: Imipramine, a tricyclic antidepressant, typically requires 2 to 4 weeks of therapy before the full therapeutic effects are experienced. Because the client has been taking the drug for only 3 days, it is too soon to determine if the current dosage of imipramine is effective. It is also too soon to consider taking another antidepressant.

Wednesday, 1 April 2020

Q. A client diagnosed with pain disorder is talking with the nurse about fishing when he suddenly reverts to talking about the pain in his arm. Which of the following should the nurse do next?

A. Allow the client to talk about his pain.
B. Ask the client if he needs more pain medication.
C. Get up and leave the client.
D. Redirect the interaction back to fishing.

Correct Answer: D

Reason: The nurse should redirect the interaction back to fishing or another focus whenever the client begins to ruminate about physical symptoms or impairment. Doing so helps the client talk about topics that are more therapeutic and beneficial to recovery. Allowing the client to talk about his pain or asking if he needs additional pain medication is not therapeutic because it reinforces the client's need for the symptom. Getting up and leaving the client is not appropriate unless the nurse has set limits previously by saying, "I will get up and leave if you continue to talk about your pain."

Tuesday, 31 March 2020

Q. After staying several hours with her 9-year-old daughter who is admitted to the hospital with an asthma attack, the mother leaves to attend to her other children. The child exhibits continued signs and symptoms of respiratory distress. Which of the following findings should lead the nurse to believe the child is experiencing anxiety?

A. Not able to get comfortable.
B. Frequent requests for someone to stay in the room.
C. Inability to remember her exact address.
D. Verbalization of a feeling of tightness in her chest.

Correct Answer: B

Reason: A 9-year-old child should be able to tolerate being alone. Frequently asking for someone to be in the room indicates a degree of psychological distress that, at this age, suggests anxiety. The inability to get comfortable is more characteristic of a child in pain. Inability to answer questions correctly may reflect a state of anoxia or a lack of knowledge. Tightness in the chest occurs as a result of bronchial spasms.

Monday, 30 March 2020

Q. A client is scheduled for surgery under general anesthesia. The night before surgery, the client tells the nurse, "I can't wait to have breakfast tomorrow." Based on this statement, which nursing diagnosis should be the nurse's priority?

A. Deficient knowledge related to food restrictions associated with anesthesia
B. Fear related to surgery
C. Risk for impaired skin integrity related to upcoming surgery
D. Ineffective coping related to the stress of surgery

Correct Answer: A

Reason: The client's statement reveals a Deficient knowledge related to food restrictions associated with general anesthesia. Fear related to surgery, Risk for impaired skin integrity related to upcoming surgery, and Ineffective coping related to the stress of surgery may be applicable nursing diagnoses but they aren't related to the client's statement.

Saturday, 28 March 2020

Nursing Responsibilities, Nursing Job, Nursing Career, Nursing Degree, Nursing Professionals, Nursing Skill

As our previous way of life has shuttered to an unexpected stop and everyone is hunkering down at home in an attempt to stop the spread of COVID-19 (well, aside from the spring breakers whose beach beers were obviously more important), now is a great opportunity to consider if a career in nursing might be right for you.

If you have ever thought about a career in healthcare, or have felt a call to action in the time of seeing so many suffer, here are a few reasons why now might be the time for you to pursue a future in nursing.

1. You Can Make a True Difference in the World

Have you been stuck at home, wishing you could be one of the heroes in this fight to save lives? Have you wished that your efforts to help people extended farther than just your own couch? Now is your time to make an impact not only in the lives of others, but in the entire world by becoming a nurse.

2. The Nursing Shortage is Increasing by the Minute

There was already a predicted shortage of nurses, but this pandemic will only increase that need. Some nurses, as The New York Times reported, have already been quitting on-the-spot under the pressure of dire conditions in hard-hit infected areas.

The American Association of Colleges of Nursing has predicted that there will be a need for 203,700 new RNs each year through 2026, and those numbers will be much higher in the aftermath of this pandemic.

3. There Will be Increased Pay Opportunities

Especially if you can enter the nursing field rather quickly, such as if you are near graduating from nursing school, have an RN license but haven’t been working lately, or can take an accelerated nursing program, (if you have a Bachelor’s degree in another field, for instance, you can get a nursing degree as quickly as one year), there will be increased opportunity for higher wages. Many high-need areas are offering sign-on bonuses, for instance, along with OT opportunities.

And if you have the ability to do so, staffing nursing agencies are at an all-time high, offering crisis pay, along with sign-on bonuses, quarantine pay, and more stipends for emergency areas. Some staffing nurse agencies allow you to start work as a travel RN right away, and some may even waive minimum requirements for crisis areas if you have recently graduated and don’t have a lot of experience yet.

4. You Will Always Have Stable Income as a Nurse

No one quite knows what the aftermath of COVID-19 will be on the economy, but if there’s one job that’s completely recession-proof, it’s nursing. I graduated from nursing school myself in 2008--remember that little time of the worst recession in America since the Great Depression?--and started a nursing job right out of school.

Nursing, and really any position in healthcare, will always be in high demand, and entering a program now can ensure that you will be ready to hit the ground running when the need for nurses is at its peak.

5. More Government Aid for Healthcare Training 

Many COVID-19 bills and incentive programs are in the process of being drafted and finalized, so while the exact details aren’t fully known yet, you can expect an increase in the number of government-aided training programs to help train new healthcare workers. For example, as many people have been laid off or lost their jobs as a result of COVID-19 closures, the federal government will be rolling programs to train them in growing industries--with healthcare as a priority.

These programs will include everything from nursing to entry-level certificate programs like CNA and allied health professions. As a result, there will be plenty of opportunities to get involved in healthcare, even if financial constraints have been an issue for you in the past.

6. Waived Requirements for Nursing School Admission

Some schools are waiving certain requirements for entrance into nursing programs for upcoming start times, meaning that there may be increased access for nursing programs across the country. For instance, Concordia University in Texas is waiving Test of Essential Academic Skills requirements for nursing school students who will be applying for summer and fall program start times.

With many standardized testing centers that provide exams such as the ACT and SAT shut down, colleges and universities are having to quickly scramble to assess entry requirements--which could mean more opportunities to be admitted into a nursing program near you.

7. The Future of Nursing Could Include More Telehealth Nursing opportunities

Hopefully, the aftermath of COVID-19 is that the healthcare system in the U.S. gets a major overhaul, starting with ensuring we have the supplies we need to protect and equip our healthcare professionals. But some health experts are also predicting that this pandemic could also be a catalyst for increased telehealth services in the future -- including funding the technology to make it possible, training healthcare staff on how to use it, and increasing consumer confidence and ability to use it.

If you are interested in healthcare but are also intrigued by the idea of patient care from a telehealth perspective, this would be an excellent time to get in on the ground level. Most telehealth positions will need nurses with experience in direct patient care as well, so it would be a good idea to make sure you are in the process of starting now, while the field is still relatively new.

Take the First Steps in Your Nursing Journey

Anytime is a good time to join the incredible people that make up the nursing workforce, but now, in a world that will forever be changed by COVID-19, it’s become clear, more than ever, how important nurses are to the future.

Wherever you are in your career, we have a guide to help you get started in nursing.

Question Of The Day, Basic Physical Care
Q. A client with burns on his groin has developed blisters. As the client is bathing, a few blisters break. The best action for the nurse to take is to:

A. remove the raised skin because the blister has already broken.
B. wash the area with soap and water to disinfect it.
C. apply a weakened alcohol solution to clean the area.
D. clean the area with normal saline solution and cover it with a protective dressing.

Correct Answer: D

Reason: The nurse should clean the area with a mild solution such as normal saline, and then cover it with a protective dressing. Soap and water and alcohol are too harsh. The body's first line of defense broke when the blisters opened; removing the skin exposes a larger area to the risk of infection.

Thursday, 26 March 2020

Question Of The Day, Neurosensory Disorders
Q. Which of the following is an early symptom of glaucoma?

A. Hazy vision.
B. Loss of central vision.
C. Blurred or "sooty" vision.
D. Impaired peripheral vision.

Correct Answer: D

Reason: In glaucoma, peripheral vision is impaired long before central vision is impaired. Hazy, blurred, or distorted vision is consistent with a diagnosis of cataracts. Loss of central vision is consistent with senile macular degeneration but it occurs late in glaucoma. Blurred or "sooty" vision is consistent with a diagnosis of detached retina.



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