A nurse is caring for a client in an outpatient psychiatric clinic who has been applying a selegiline 12 mg transdermal patch
once daily.
The client is at risk of developing hypertensive crisis
due to consuming food high in tyramine.
After reviewing the client's medical record, the nurse should notify the provider of which of the following findings?
Select the 5 unexpected findings that require notification of the provider.
Temperature
Bowel Sounds
ANC level
Myalgia
Heart rate
A nurse is monitoring a client who began taking sertraline 3 days ago. Which of the following findings should the nurse
report to the provider as potential adverse effects of this new medication?
Select all that apply.
Temperature
Sodium level
Diaphoresis
Insomnia
Headache
Blood pressure
, A nurse is updating the client's plan of care. For each of the following potential nursing interventions, click to specify if the
potential intervention is anticipated or contraindicated for the client.
When addressing the client, approach them from the front when possible. (Anticipated)
Use a vest restraint to keep the client in a medical recliner. (Contraindicated)
Ensure the bed is kept at a working height for the nurse. (Contraindicated)
Give directions to the client slowly and in a moderate tone of voice. (Anticipated)
Decrease sensory stimulation. (Anticipated)
Keep the lights off in the client's bedroom and bathroom at night. (Contraindicated)
Assign the client to a room near the nurses' station. (Anticipated)
For each potential assessment finding, click to specify if the finding is consistent with positive or negative symptoms of
schizophrenia.
Delusions of grandeur (positive)
Clang associations (positive)
Catatonia (positive)
Alogia (negative)
Withdrawal from social activities (negative)
A nurse is caring for a group of clients. Which of the following findings should the nurse report?
A client who is taking lamotrigine and has developed a rash
once daily.
The client is at risk of developing hypertensive crisis
due to consuming food high in tyramine.
After reviewing the client's medical record, the nurse should notify the provider of which of the following findings?
Select the 5 unexpected findings that require notification of the provider.
Temperature
Bowel Sounds
ANC level
Myalgia
Heart rate
A nurse is monitoring a client who began taking sertraline 3 days ago. Which of the following findings should the nurse
report to the provider as potential adverse effects of this new medication?
Select all that apply.
Temperature
Sodium level
Diaphoresis
Insomnia
Headache
Blood pressure
, A nurse is updating the client's plan of care. For each of the following potential nursing interventions, click to specify if the
potential intervention is anticipated or contraindicated for the client.
When addressing the client, approach them from the front when possible. (Anticipated)
Use a vest restraint to keep the client in a medical recliner. (Contraindicated)
Ensure the bed is kept at a working height for the nurse. (Contraindicated)
Give directions to the client slowly and in a moderate tone of voice. (Anticipated)
Decrease sensory stimulation. (Anticipated)
Keep the lights off in the client's bedroom and bathroom at night. (Contraindicated)
Assign the client to a room near the nurses' station. (Anticipated)
For each potential assessment finding, click to specify if the finding is consistent with positive or negative symptoms of
schizophrenia.
Delusions of grandeur (positive)
Clang associations (positive)
Catatonia (positive)
Alogia (negative)
Withdrawal from social activities (negative)
A nurse is caring for a group of clients. Which of the following findings should the nurse report?
A client who is taking lamotrigine and has developed a rash
