NURS 241 Exam 1: Psychosis, Electrolytes, Fluid
Balance & HF – Questions & A+ Solutions
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Terms in this set (259)
Match the following with either a) Hypotonic:
hypotonic, b) isotonic, or c) hypertonic 1) D5W in body
1) D5W in body 4) 0.45%NS
2) D5 .25%NS 7) 0.33%NS
3) D5 .45NS 11) 0.225%NS
4) 0.45%NS
5) D10W Isotonic:
6) Normosol 2) D5 .25%NS
7) 0.33%NS 6) Normosol
8) 3%NS 9) D5W in bag
9) D5W in bag 12) 0.9%NS
10) D5NS 13) LR
11) 0.225%NS
12) 0.9%NS Hypertonic:
13) LR 3) D5 .45NS
14) D5LR 5) D10W
8) 3%NS
10) D5NS
14) D5LR
,Which of the following nursing a) Assess home medications and current doses, and
interventions would the nurse perform verify proper administration/dosing with patient
for the client with b) Look for signs and symptoms of suicidal ideation,
psychosis/schizophrenia? (Select all that thoughts, or plans.
apply) c) Assess any available MRI or CT scans to rule out injury
a) Assess home medications and current d) Assess labs including electrolytes and any substance
doses, and verify proper abuse toxicology reports
administration/dosing with patient
b) Look for signs and symptoms of -This is an accurate statement. the nurse should assess
suicidal ideation, thoughts, or plans. not only the medications, but should recognize usual
c) Assess any available MRI or CT scans doses and if the patient is following the treatment plan.
to rule out injury in addition, many psychiatric medications can have
d) Assess labs including electrolytes significant side effects that impacts patient use and
and any substance abuse toxicology compliance.
reports -Suicide risk is real for clients living with
psychosis/schizophrenia. The nurse should assess for
risk of suicide. Suicide can be considered a true
'extreme version' critical scenario with
psychosis/schizophrenia.
The nurse is taking care of the client b) "I will just sit here quietly with you. If you want to talk
with schizophrenia who has current about it, that's ok"
visual hallucinations of seeing bats in c) "So what you are saying is that you are seeing small
the activity room. Which of the following flying animals"
statements indicate that nurse e) "I am not seeing bats in the activity room"
understands therapeutic communication
techniques for the client? (Select all that *This is a correct answer and demonstrates therapeutic
apply.) listening and/or silence.
a) "I'm sure it will get better when your This shows clarification and reinforcing reality.
meds kick in"
b) "I will just sit here quietly with you. If
you want to talk about it, that's ok"
c) "So what you are saying is that you
are seeing small flying animals"
d) " Let's see what's on TV"
e) "I am not seeing bats in the activity
room"
,The nurse is taking care of the patient c) Haldol decanoate (haloperidol) 1.5 mg orally every 12
with acute paranoid schizophrenia. hours
Which of the following medication
orders is the most correct? *This is 3 mg daily which falls within the correct range
a) Haldol decanoate (haloperidol) 15 for this medication.
mg IV x 1 for acute psychosis
b) Haldol decanoate (haloperidol) 150
mg orally every 12 hours
c) Haldol decanoate (haloperidol) 1.5
mg orally every 12 hours
d) Haldol decanoate (haloperidol) 0.15
mg IM x 1 for acute psychosis
Which of the following predisposing b) Encephalitis and/or other infections
factors are most prevalent in the c) Substance abuse
development of psychosis? (Select all e) White / caucasian ethnicity
that apply)
a) Age 65+ *You're a winner! Infections can cause symptoms of
b) Encephalitis and/or other infections psychosis and should be ruled out as a part of the
c) Substance abuse diagnosis process.
d) High income Yes! There are higher rates of psychosis/schizophrenia
e) White / caucasian ethnicity with substance abuse, particularly methamphetamine
(and others)
Yes! Psychosis/schizophrenia is more prevalent in
white/Caucasian ethnicity than Hispanic/Latinx, Asian, or
Native American ethnicity.
, The nurse is taking care of a new __2__ Assess patient vital signs, intake and output and
admission patient with known basic neurological orientation
schizophrenia who has been having __5__ Start IV fluids of 0.9 NS with 20 meq potassium
diarrhea for 3 days from a new __4__ Notify provider of findings
medication regimen. The patient is __3__ Assess lab values including magnesium and sodium
restless and agitated, and has twitching __1__ Assess that the patient is safe and free from
in their face and hands. The patient imminent danger including suicidal ideation
states they "can't go on like this." Put the
following nursing interventions in order *This is the second most accurate assessment. These are
of prioritization. baseline informational pieces needed to
____ Assess patient vital signs, intake and critically think and plan. For a new admission (with no
output and basic neurological orders) labs, vitals and patient status should be
orientation assessed before an intervention. This cannot be initiated
____ Start IV fluids of 0.9 NS with 20 meq without an order, and the provider would have to be
potassium notified to obtain this IV solution with medication. This is
____ Notify provider of findings the last priority action. The provider should be
____ Assess lab values including notified only after pertinent information has been
magnesium and sodium gathered and analyzed. This is the third most priority
____ Assess that the patient is safe and action to address the diarrhea and twitching. This is the
free from imminent danger including priority statement. Safety assessment is a reality with this
suicidal ideation diagnosis, especially suicidal ideation.
Match the lab profile with the most __2__ Hgb 13.2 yesterday, 10.1 today; Urine specific gravity
likely fluid imbalance. 1) Fluid Volume 1.001
Deficit __1__ BUN 45; Cr 0.7
2) Fluid Volume Excess __1__ Na 148; Hct 40% yesterday, 49% today; serum
____ Hgb 13.2 yesterday, 10.1 today; Urine osmolality 308
specific gravity 1.001
____ BUN 45; Cr 0.7
____ Na 148; Hct 40% yesterday, 49%
today; serum osmolality 308
Which intravenous solution should you a) 0.9% saline
anticipate for a patient with isotonic
dehydration? -0.9% normal saline is the only isotonic solution that
a) 0.9% saline remains isotonic after administration.
b) Dextrose 10% in water -A is isotonic in solution but hypotonic once
c) Dextrose 5% in water administered, B is hypertonic and C is hypotonic.
d) 0.45% saline
Balance & HF – Questions & A+ Solutions
Groups
Play your way to mastery with fun games
Match Blocks Charms NEW
Terms in this set (259)
Match the following with either a) Hypotonic:
hypotonic, b) isotonic, or c) hypertonic 1) D5W in body
1) D5W in body 4) 0.45%NS
2) D5 .25%NS 7) 0.33%NS
3) D5 .45NS 11) 0.225%NS
4) 0.45%NS
5) D10W Isotonic:
6) Normosol 2) D5 .25%NS
7) 0.33%NS 6) Normosol
8) 3%NS 9) D5W in bag
9) D5W in bag 12) 0.9%NS
10) D5NS 13) LR
11) 0.225%NS
12) 0.9%NS Hypertonic:
13) LR 3) D5 .45NS
14) D5LR 5) D10W
8) 3%NS
10) D5NS
14) D5LR
,Which of the following nursing a) Assess home medications and current doses, and
interventions would the nurse perform verify proper administration/dosing with patient
for the client with b) Look for signs and symptoms of suicidal ideation,
psychosis/schizophrenia? (Select all that thoughts, or plans.
apply) c) Assess any available MRI or CT scans to rule out injury
a) Assess home medications and current d) Assess labs including electrolytes and any substance
doses, and verify proper abuse toxicology reports
administration/dosing with patient
b) Look for signs and symptoms of -This is an accurate statement. the nurse should assess
suicidal ideation, thoughts, or plans. not only the medications, but should recognize usual
c) Assess any available MRI or CT scans doses and if the patient is following the treatment plan.
to rule out injury in addition, many psychiatric medications can have
d) Assess labs including electrolytes significant side effects that impacts patient use and
and any substance abuse toxicology compliance.
reports -Suicide risk is real for clients living with
psychosis/schizophrenia. The nurse should assess for
risk of suicide. Suicide can be considered a true
'extreme version' critical scenario with
psychosis/schizophrenia.
The nurse is taking care of the client b) "I will just sit here quietly with you. If you want to talk
with schizophrenia who has current about it, that's ok"
visual hallucinations of seeing bats in c) "So what you are saying is that you are seeing small
the activity room. Which of the following flying animals"
statements indicate that nurse e) "I am not seeing bats in the activity room"
understands therapeutic communication
techniques for the client? (Select all that *This is a correct answer and demonstrates therapeutic
apply.) listening and/or silence.
a) "I'm sure it will get better when your This shows clarification and reinforcing reality.
meds kick in"
b) "I will just sit here quietly with you. If
you want to talk about it, that's ok"
c) "So what you are saying is that you
are seeing small flying animals"
d) " Let's see what's on TV"
e) "I am not seeing bats in the activity
room"
,The nurse is taking care of the patient c) Haldol decanoate (haloperidol) 1.5 mg orally every 12
with acute paranoid schizophrenia. hours
Which of the following medication
orders is the most correct? *This is 3 mg daily which falls within the correct range
a) Haldol decanoate (haloperidol) 15 for this medication.
mg IV x 1 for acute psychosis
b) Haldol decanoate (haloperidol) 150
mg orally every 12 hours
c) Haldol decanoate (haloperidol) 1.5
mg orally every 12 hours
d) Haldol decanoate (haloperidol) 0.15
mg IM x 1 for acute psychosis
Which of the following predisposing b) Encephalitis and/or other infections
factors are most prevalent in the c) Substance abuse
development of psychosis? (Select all e) White / caucasian ethnicity
that apply)
a) Age 65+ *You're a winner! Infections can cause symptoms of
b) Encephalitis and/or other infections psychosis and should be ruled out as a part of the
c) Substance abuse diagnosis process.
d) High income Yes! There are higher rates of psychosis/schizophrenia
e) White / caucasian ethnicity with substance abuse, particularly methamphetamine
(and others)
Yes! Psychosis/schizophrenia is more prevalent in
white/Caucasian ethnicity than Hispanic/Latinx, Asian, or
Native American ethnicity.
, The nurse is taking care of a new __2__ Assess patient vital signs, intake and output and
admission patient with known basic neurological orientation
schizophrenia who has been having __5__ Start IV fluids of 0.9 NS with 20 meq potassium
diarrhea for 3 days from a new __4__ Notify provider of findings
medication regimen. The patient is __3__ Assess lab values including magnesium and sodium
restless and agitated, and has twitching __1__ Assess that the patient is safe and free from
in their face and hands. The patient imminent danger including suicidal ideation
states they "can't go on like this." Put the
following nursing interventions in order *This is the second most accurate assessment. These are
of prioritization. baseline informational pieces needed to
____ Assess patient vital signs, intake and critically think and plan. For a new admission (with no
output and basic neurological orders) labs, vitals and patient status should be
orientation assessed before an intervention. This cannot be initiated
____ Start IV fluids of 0.9 NS with 20 meq without an order, and the provider would have to be
potassium notified to obtain this IV solution with medication. This is
____ Notify provider of findings the last priority action. The provider should be
____ Assess lab values including notified only after pertinent information has been
magnesium and sodium gathered and analyzed. This is the third most priority
____ Assess that the patient is safe and action to address the diarrhea and twitching. This is the
free from imminent danger including priority statement. Safety assessment is a reality with this
suicidal ideation diagnosis, especially suicidal ideation.
Match the lab profile with the most __2__ Hgb 13.2 yesterday, 10.1 today; Urine specific gravity
likely fluid imbalance. 1) Fluid Volume 1.001
Deficit __1__ BUN 45; Cr 0.7
2) Fluid Volume Excess __1__ Na 148; Hct 40% yesterday, 49% today; serum
____ Hgb 13.2 yesterday, 10.1 today; Urine osmolality 308
specific gravity 1.001
____ BUN 45; Cr 0.7
____ Na 148; Hct 40% yesterday, 49%
today; serum osmolality 308
Which intravenous solution should you a) 0.9% saline
anticipate for a patient with isotonic
dehydration? -0.9% normal saline is the only isotonic solution that
a) 0.9% saline remains isotonic after administration.
b) Dextrose 10% in water -A is isotonic in solution but hypotonic once
c) Dextrose 5% in water administered, B is hypertonic and C is hypotonic.
d) 0.45% saline
