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complains of a sore throat This symptom 51. Your client is taking clonapine Clo may be...
A client who has been receiving treatment for psychosis presents to the clinic for follow up....
A client who has been receiving treatment for psychosis presents to the clinic for follow up. On assessment the nurse discovers the client is currently displaying rhythmic, involuntary facial movements to include chewing-like movements and tongue protrusion. The nurse interprets these findings as an indication of which disorder? A. Stevens-Johnson syndrome B. Neuroleptic malignant syndrome C. Tardive dyskinesia D. Extrapyramidal syndrome
13. A nurse is caring for a client who reports that he is angry with his...
13. A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse and tells her to leave. Which of the following defense mechanism is the client demonstrating? attempts to talk to the client, he becomes angry a. Denial b. Displacement c. Compensation d. Rationalization 14. A charge nurse is discussing the care of a client who has a substance use disorder with...
41. A nurse is assessing a client who has bipolar disorder and is taking lamotrigine. Which...
41. A nurse is assessing a client who has bipolar disorder and is taking lamotrigine. Which of the following findings is the nurses priority? a. b. c. d. Thyroid-Stimulating Hormone 4.0 Microunits Alanine Transaminase 201U Skin Rash Epsitaxis 42. A nurse is caring for a client who has schizophrenia and displays severe negative symptoms of the disorder. Which of the following actions should the nurse take? a. Manage the clients loud, rambling, and incoherent, communication patterns b. Direct the client...
8. The client with bipolar disorder is taking lithium has a lithium level of 3.1 mEq/L....
8. The client with bipolar disorder is taking lithium has a lithium level of 3.1 mEq/L. Which treatments would the nurse expect the health care provider to prescribe? Select all that apply. A. No treatment because this is within the therapeutic range B. Initiate IV therapy with isotonic sodium chloride C. Prepare the client for immediate hemodialysis D. Administer an antidote for lithium toxicity E. Monitor the client's status on telemetry
Q21. The nurse admits a client to the unit who reports taking high doses of aspii...
Q21. The nurse admits a client to the unit who reports taking high doses of aspii to ease the pain of chronic headaches. The nurse should monitor for which adverse effects? A. Chronic cough B. Bruising C. Hypertension D. Bradycardia Q22. Which of the following drug classes should be administered to a client with heart failure to maximize cardiac performance? A. Beta-adrenergic blockers B. Calcium channel blockers C. Diuretics D. Inotropic agents Q23. The nurse is teaching a client with...
66. A nurse is providing crisis intervention for a client who was involved in a violent...
66. A nurse is providing crisis intervention for a client who was involved in a violent mass casualty situation in the community. Which of the following actions should the nurse take during the initial session with the client? a. Help the client focus on a wide variety of topics regarding the crisis b. Identify the clients usual coping style c. Tell the client that his life will soon return to normal d. Encourage the client to display anger toward the...
1. A nurse is caring for a client who has bipolar disorder and is experiencing a manic...
1. A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode. Which of the following actions should the nurse take? a. Encourage the client to join group activities b. Dim the lights in the clients room c. Provide detailed explanations to the client d. Administer methyphenidate to the client 2. A nurse is leading a crisis intervention group of adolescents who witnessed the suicide of a classmate. Whch of the following actions should the nurse take first? a. Initiate referrals...
1. A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode. W...
1. A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode. Which of the following actions should the nurse take? a. Encourage the client to join group activities b. Dim the lights in the clients room c. Provide detailed explanations to the client d. Administer methyphenidate to the client 2. A nurse is leading a crisis intervention group of adolescents who witnessed the suicide of a classmate. Whch of the following actions should...
445. The nurse is assessing a client with delayed wound healing. Which of the following risk...
445. The nurse is assessing a client with delayed wound healing. Which of the following risk factors is most important in this situation? A. Glucose level of 120 B. History of myocardial infarction C. Long term steroid usage D. Diet high in carbohydrates 446. In assessing the healing of a client wound during a home visit, which of the following is the best indicator of good healing? A. White patches B. Green drainage C. Reddened tissue D. Eschar development 447....
7. A nurse is caring for a female client undergoing radiation therapy after her breast surgery....
7. A nurse is caring for a female client undergoing radiation therapy after her breast surgery. The clit is refusing to eat and states she does not have a desire to eat at this time. Which action should the nurse do first? a. Continue to monitor the client. b. Notify the health care provider. C. Begin parenteral nutrition. d. Assess the client's BMI. 8. A client is being started on total parenteral nutrition (TPN). When initiating the therapy, the nurse...
A client who has been receiving treatment for psychosis presents to the clinic for follow up. On assessment the nurse discovers the client is currently displaying rhythmic, involuntary facial movements to include chewing-like movements and tongue protrusion. The nurse interprets these findings as an indication of which disorder? A. Stevens-Johnson syndrome B. Neuroleptic malignant syndrome C. Tardive dyskinesia D. Extrapyramidal syndrome
13. A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse and tells her to leave. Which of the following defense mechanism is the client demonstrating? attempts to talk to the client, he becomes angry a. Denial b. Displacement c. Compensation d. Rationalization 14. A charge nurse is discussing the care of a client who has a substance use disorder with...
41. A nurse is assessing a client who has bipolar disorder and is taking lamotrigine. Which of the following findings is the nurses priority? a. b. c. d. Thyroid-Stimulating Hormone 4.0 Microunits Alanine Transaminase 201U Skin Rash Epsitaxis 42. A nurse is caring for a client who has schizophrenia and displays severe negative symptoms of the disorder. Which of the following actions should the nurse take? a. Manage the clients loud, rambling, and incoherent, communication patterns b. Direct the client...
8. The client with bipolar disorder is taking lithium has a lithium level of 3.1 mEq/L. Which treatments would the nurse expect the health care provider to prescribe? Select all that apply. A. No treatment because this is within the therapeutic range B. Initiate IV therapy with isotonic sodium chloride C. Prepare the client for immediate hemodialysis D. Administer an antidote for lithium toxicity E. Monitor the client's status on telemetry
Q21. The nurse admits a client to the unit who reports taking high doses of aspii to ease the pain of chronic headaches. The nurse should monitor for which adverse effects? A. Chronic cough B. Bruising C. Hypertension D. Bradycardia Q22. Which of the following drug classes should be administered to a client with heart failure to maximize cardiac performance? A. Beta-adrenergic blockers B. Calcium channel blockers C. Diuretics D. Inotropic agents Q23. The nurse is teaching a client with...
66. A nurse is providing crisis intervention for a client who was involved in a violent mass casualty situation in the community. Which of the following actions should the nurse take during the initial session with the client? a. Help the client focus on a wide variety of topics regarding the crisis b. Identify the clients usual coping style c. Tell the client that his life will soon return to normal d. Encourage the client to display anger toward the...
7. A nurse is caring for a female client undergoing radiation therapy after her breast surgery. The clit is refusing to eat and states she does not have a desire to eat at this time. Which action should the nurse do first? a. Continue to monitor the client. b. Notify the health care provider. C. Begin parenteral nutrition. d. Assess the client's BMI. 8. A client is being started on total parenteral nutrition (TPN). When initiating the therapy, the nurse...
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