When assessing a client diagnosed with schizophrenia who takes an antipsychotic agent daily, which assessment finding should a nurse immediately report to the client's attending psychiatrist?

Correct Answer: C

Rationale: The correct answer is C: Temperature of 104°F (40°C). This finding indicates a potential fever, which could be a sign of a serious infection or other medical issue requiring immediate attention. Fever in a client with schizophrenia taking antipsychotic medication can be a sign of neuroleptic malignant syndrome (NMS), a rare but life-threatening side effect. A: Respirations of 22 beats/minute are within normal range. B: Weight gain of 8 pounds in 2 months may be concerning for metabolic side effects, but it is not an acute issue. D: Excessive salivation may be a side effect of the antipsychotic medication but is not as urgent as a high fever.

Correct Answer: B

Rationale: The correct answer is B: ANA Code of Ethics for Nurses. This code provides guidance on ethical considerations for nurses, including the duty to respect human dignity and promote patients' autonomy. It specifically addresses end-of-life decisions and emphasizes the nurse's role in supporting the client's wishes while upholding ethical standards. Choices A, C, and D are incorrect because the Medical Code of Ethics, state boards of nursing, and facility protocols may not specifically address the ethical considerations surrounding end-of-life care for terminally ill clients. Nurses should adhere to the ANA Code of Ethics to ensure they are making ethical, moral, and professional decisions in such sensitive situations.

Correct Answer: A

Rationale: The correct action is to press gently on the inner canthus area immediately after instilling eyedrops. This helps prevent systemic absorption of the medication and reduces the risk of side effects. Pressing on the inner canthus area also prevents drainage of the medication into the nasolacrimal duct, ensuring maximum efficacy. Choice B is incorrect as wiping the eyelid toward the inner canthus can cause the medication to be wiped away before it has a chance to be absorbed. Choice C is incorrect as applying a sterile eye patch is unnecessary and can lead to ocular irritation. Choice D is incorrect as maintaining light pressure on the lower eyelid can cause the medication to be squeezed out of the eye prematurely.

Correct Answer: D

Rationale: The correct answer is D: Quantitative research. Quantitative research emphasizes the collection of numerical data and statistical analysis to draw conclusions. It focuses on quantifying the data and measuring relationships between variables. This method is commonly used in scientific studies to analyze cause and effect relationships. In contrast, basic research (A) aims to expand knowledge without any immediate practical application, while applied research (B) focuses on solving practical problems. Qualitative research (C) involves collecting non-numerical data such as opinions and experiences. Thus, D is the correct choice as it aligns with the emphasis on numerical data collection and analysis.

Correct Answer: D

Rationale: The correct answer, D, is to not chew or crush the enteric-coated aspirin because the coating is designed to protect the stomach lining by allowing the drug to be absorbed in the intestines. Chewing or crushing it would bypass this protective mechanism, potentially causing stomach irritation or bleeding. Choice A is incorrect because cutting the aspirin would still expose the stomach to the drug. Choice B is incorrect as the enteric coating is there for a reason. Choice C is incorrect as enteric-coated aspirin is typically not available in liquid form.