A nurse in an acute substance disorder unit is assessing a client who received treatment in the emergency department for a
heroin overdose. Which of the following findings should the nurse anticipate during heroin withdrawal?
Muscle aches
A nurse is teaching a client who has an anxiety disorder about nonpharmacological ways to promote good sleep habits.
Which of the following recommendations should the nurse make?
"Eat a light snack containing carbohydrates before bedtime."
A nurse is assessing a client prior to administering lithium. The client began taking lithium 1 week ago for treatment of
mania. For which of the following findings should the nurse withhold the dose?
Report of nausea with frequent episodes of emesis
A nurse is caring for a school-age client who begins wetting the bed after finding out that her parents are getting a divorce.
The nurse should identify that the client is exhibiting which of the following defense mechanisms?
Regression
, A nurse is caring for a client who is showing evidence of addiction to a pain medication prescribed for rheumatoid arthritis.
When questioned about the usage of the medication, the client states, "It is not an illegal drug." Which of the following
defense mechanisms is the client using?
Rationalization
A home health nurse is speaking with the caregiver of a client who has Alzheimer's disease. The caregiver asks the nurse
why the client becomes disoriented, confused, and often combative later in the day. Which of the following conditions
should the nurse plan to report to the provider?
Sundowning
A nurse in a long-term care facility as caring for a client who has dementia and becomes increasingly agitated in the
afternoon. Which of the following actions should the nurse take first?
Offer diversionary activities for the client
A nurse is reviewing the health history of a young adult client who has a depressive disorder. Which of the following factors
increases the client's risk of depression?
The client is female.
heroin overdose. Which of the following findings should the nurse anticipate during heroin withdrawal?
Muscle aches
A nurse is teaching a client who has an anxiety disorder about nonpharmacological ways to promote good sleep habits.
Which of the following recommendations should the nurse make?
"Eat a light snack containing carbohydrates before bedtime."
A nurse is assessing a client prior to administering lithium. The client began taking lithium 1 week ago for treatment of
mania. For which of the following findings should the nurse withhold the dose?
Report of nausea with frequent episodes of emesis
A nurse is caring for a school-age client who begins wetting the bed after finding out that her parents are getting a divorce.
The nurse should identify that the client is exhibiting which of the following defense mechanisms?
Regression
, A nurse is caring for a client who is showing evidence of addiction to a pain medication prescribed for rheumatoid arthritis.
When questioned about the usage of the medication, the client states, "It is not an illegal drug." Which of the following
defense mechanisms is the client using?
Rationalization
A home health nurse is speaking with the caregiver of a client who has Alzheimer's disease. The caregiver asks the nurse
why the client becomes disoriented, confused, and often combative later in the day. Which of the following conditions
should the nurse plan to report to the provider?
Sundowning
A nurse in a long-term care facility as caring for a client who has dementia and becomes increasingly agitated in the
afternoon. Which of the following actions should the nurse take first?
Offer diversionary activities for the client
A nurse is reviewing the health history of a young adult client who has a depressive disorder. Which of the following factors
increases the client's risk of depression?
The client is female.
