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Which of the following is most important to teach a client with a new prescription for
lithium?
Speak to your provider if you have nausea, vomiting, or become dehydrated
, The nurse is providing health teaching for a client who has been prescribed phenelzine/
Nardil for depression and provided education about the types of food to avoid. Which
statement by clients indicates the need for further education?
I can have glass of wine as long as it's before I take my next dose
A nurse is assessing a client who has schizophrenia and has been treated with a f irst-
generation antipsychotic. Which of the following findings should the nurse document as
manifestation of tardive dyskinesia?
Twisting tongue movement
A nurse is caring for a client who has been rejecting personal hygiene, observes an
improvement in the client, wearing clean clothes, with combed and styled hair. Which of the
following is the most therapeutic responses by the nurse?
I see you have done some grooming today
Which individual of the following should be considered at highest risk for completing
suicide?
A 79-year-old single white male with cancer of the prostate
Which of the following is a therapeutic communication strategy to use when working with a
client who has auditory hallucinations?
Asking the client to describe his hallucination.
A client has mass in the left upper lobe and a biopsy is scheduled today. As the nurse explain
the procedure, the client does not respond asked question and cannot focus on the current
situation. The client is shaking and appear immobile. The nurse recognizes the client is
experiencing which level of anxiety?
Severe
A client is admitted with general disorder (GAD) becomes increasingly confused and agitated
over 3 hours. What is the priority nurse action by the nurse.
Assess the client to determine the possible cause.
The nurse is caring for a patient who experiences orthostatic hypotension related to taking
chlorpromazine. The nurse should suggest which of the following interventions for managing
this side effect?
Sit on the side of the bed before standing up.