A nurse is developing an in-service about personality disorders. Which of the following information should the nurse include when discussing borderline personality disorder?

"The client might act seductively."

"The client is overly concerned about minor details."

"The client exhibits impulsive behavior."

"The client is exceptionally clingy to others."

Answer and Explanation

The Correct Answer is C

A.   Incorrect. Acting seductively is more characteristic of histrionic personality disorder.
B.   Incorrect. Being overly concerned about minor details is more characteristic of obsessive-compulsive personality disorder.
C.   Correct. Impulsive behavior, such as reckless spending or self-harm, is a common feature of borderline personality disorder.
D.   Incorrect. Being exceptionally clingy to others is not a defining feature of borderline personality disorder.

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Correct Answer is B

Explanation

A. Incorrect. Bulging fontanels are not typically associated with withdrawal from maternal methadone use. They might indicate increased intracranial pressure or other conditions.
B. Correct. Hypertonicity, or increased muscle tone, is a common sign of neonatal withdrawal from opioids such as methadone. It can manifest as increased resistance to passive movement.
C. Incorrect. Bradycardia is not a common withdrawal symptom from maternal methadone use. Neonates withdrawing from opioids might experience tachycardia, not bradycardia.
D. Incorrect. Acrocyanosis, a bluish discoloration of the extremities, is a common finding in newborns and is not specific to withdrawal from methadone. It can be related to immature peripheral circulation.

A. Use the balloon port to obtain the sterile specimen. B. Unclamp the collection port below the bag. C. Disconnect the catheter from the collection tubing. D. Obtain the specimen from the retention port.

Correct Answer is D

Explanation

A. The balloon port is used to inflate or deflate the catheter balloon and is not used for obtaining urine specimens.
B. Unclamping the collection port could contaminate the specimen with non-sterile urine from the tubing.
C. Disconnecting the catheter from the collection tubing could introduce contaminants into the catheter and tubing.
D. Correct. The retention port is a sterile access point on the catheter itself, and it can be used to obtain a sterile urine specimen without compromising the sterility of the collection system.

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A nurse is developing an in-service about personality disorders. Which of the following information should the nurse include when discussing borderline personality disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn whose mother was taking methadone during her pregnancy. Which of the following findings indicates the newborn is experiencing withdrawal?

Correct Answer is B

Explanation

A nurse is caring for a client who has an indwelling urinary catheter. The nurse notes that sediment is present in the urine. Which of the following actions should the nurse take to obtain a sterile urine specimen?

Correct Answer is D

Explanation

A charge nurse is concerned about a recent increase in facility-acquired catheter infections. Which of the following actions should the nurse take first?

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