A nurse is assessing a client who has a diagnosis of ...

[colton]

A nurse is assessing a client who has a diagnosis of schizophrenia and takes an antipsychotic agent daily. Which finding requires further nursing assessment?
 
  A) Respirations of 22 beats per minute
  B) Weight gain of 8 pounds in 2 months
  C) Temperature of 101F (38.3C)
  D) Excess salivation

Question 2

A nurse would attempt to reduce nighttime agitation for a patient with either delirium or dementia by:
 
  a. giving warm milk as a snack at bedtime.
  b. keeping a soft light on in the patient's room.
  c. placing a large-faced lighted alarm clock opposite the bed.
  d. hanging family pictures near enough to the bed to be easily seen.

[amynguyen1221]

Answer to Question 1

C

Answer to Question 2

B
A medium-intensity light will reduce shadows and reduce the agitation that comes with misinterpreted stimuli. A weaker-intensity light, such as the typical nightlight, may produce shadows. The snack may help minimize hunger and induce sleep but will have little effect on agitation, and the clock and family pictures may help with orientation only.

[colton]

Excellent

[adf223]

TYSM