Answer to Question 1
A
This individual is taking an atypical antipsychotic agent to control manic episodes of dementia. Although these agents are less likely to cause tardive dyskinesia (TD), the nurse monitors for the associated abnormal movements of TD including oral and facial dyskinesia, which is an impair-ment in the ability to execute voluntary facial movement. The nurse immediately reports this ef-fect to stop therapy and to prevent an irreversible condition. Mask facies, having a masklike ap-pearance, and shuffling gait are parkinsonian side effects of antipsychotic agents and can be im-proved with antiparkinsonian agents. Muscle spasms of the face, tongue, neck, and back are ad-verse effects of antipsychotic agents usually observed within the first 5 days of therapy. They are potential indicators of acute dystonia and can be improved with antiparkinsonian agents. Motor restlessness is an adverse effect of antipsychotic agents and is characteristic of akathisia.
Answer to Question 2
C
Sex is not restricted to young and healthy individuals; therefore the nurse provides the patient and his wife with information about safely resuming sexual intimacy. With appropriate cardiac rehabilitation, much of his capacity for exertion, such as sexual activity, can be restored. The energy expenditure for sexual activity varies; but, typically, it takes less energy than climbing six flights of stairs. The nurse must be prepared to discuss sexual issues with patients and seeks op-portunities for discussion about sexual health.
A nurse adjusts the rate of a client’s IV.
A, A nurse is adding a medication to an IV line as a piggyback
A patient centered care approach
Helping maintain accurate patient records is a critical part of the medical assistant's work.
Cyanosis as shown here at the patient’s fingertips results from a lack of oxygen in the tissues
Areas of sclerosis (see arrows) in the white matter of a patient with MS.