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a nurse is caring for a client who is 4 hour postpartum and is experiencing excessive
vaginal bleeding. which of the following actions is the nurse's priority?
a. administer oxytocin IV.
b. massage the client's fundus.
c. assist the client to the bathroom to void.
d. apply oxygen via nonrebreather face mask. - ANSWERS-massage the client's
fundus.
a nurse is reviewing the medication record of a client who was recently diagnosed with
alzheimer's disease and has a new prescription for memantine. the nurse should
instruct the client that which of the following medications can interact adversely with
memantine?
a. sodium bicarbonate.
b. ibuprofen.
c. diphenhydramine.
d. omeprazole. - ANSWERS-sodium bicarbonate
an antacid used to treat GI upset. - ANSWERS-sodium bicarbonate
a nurse in a mental health clinic is assessing a client who states, "I don't think my
gambling is as big of a problem as my friends think it is." which of the following findings
should the nurse identify as meeting the diagnostic criteria of gambling disorder?
a. the client makes no attempts to stop gambling.
,b. the client gambles when feeling happy or enthusiastic.
c. the client gambles the same amount of money each week.
d. the client asks others for money to compensate for gambling losses. - ANSWERS-the
client asks others for money to compensate for gambling losses.
one of the diagnostic criteria for this is a reliance on others to provide money to help
with negative financial situations that are a direct result of gambling losses. according to
the american psychiatric association, a diagnosis of this requires that the client's
behavior meets four of the defined criteria over the period of the past 12 months. -
ANSWERS-gambling disorder
a nurse is assessing a client who has schizophrenia. which of the following
manifestations should the nurse identify as positive symptoms of schizophrenia? select
all that apply.
a. magical thinking.
b. clang association.
c. auditory hallucinations.
d. flat affect.
e. emotional ambivalence. - ANSWERS-magical thinking.
clang association.
auditory hallucinations.
the nurse should identify that magical thinking, or the belief that one's thoughts affect
others, is a positive symptom of this disorder. - ANSWERS-schizophrenia manifestation
a nurse is planning care for a client who has a gambling disorder. which of the following
interventions should the nurse include in the plan?
a. recommend joining a self help group.
b. administer antipsychotic medications.
c. begin disulfiram therapy.
d. initiate aversion therapy. - ANSWERS-recommend joining a self help group.
,self help groups such as gambler's anonymous. - ANSWERS-effective treatment for
gambling disorder
used as a behavioral modification tool for clients who have sexual paraphilias. -
ANSWERS-aversion therapy
a nurse is caring for a client who has alzheimer's disease (AD). the client's daughter
asks the nurse if she will have AD as well. which of the following responses should the
nurse make regarding the genetic disposition of this disease?
a. you can be tested for the presence of apolipoprotein, an indication of an increased
risk of developing AD.
b. having a family history of AD is not a known risk factor for developing the disease.
c. individuals who develop AD generally have a history of frequent bacterial infections.
d. AD is more common in men, so your brothers have a higher risk of developing the
disease than you do. - ANSWERS-you can be tested for the presence of apolipoprotein,
an indication of an increased risk of developing AD.
a nurse in a mental health clinic is planning care for a client who has post traumatic
stress disorder. which of the following strategies should the nurse include?
a. assist the client to identify their stage in the grief process.
b. encourage the client to avoid discussing their trauma.
c. offer the client alone time when flashbacks occur.
d. provide the client with a rotating staffing assignment. - ANSWERS-assist the client to
identify their stage in the grief process.
a medication prescribed to deter drinking in clients who abuse alcohol. - ANSWERS-
disulfiram
lithium, carbamazepine, naltrexone. - ANSWERS-antipsychotic meds
, a nurse is reviewing the laboratory findings of a client who has acute pancreatitis. which
of the following findings should the nurse expect?
a. calcium 10.2 mg/dL
b. amylase 300 units/L
c. WBC count 7000 mm3
d. blood glucose 100 mg/dL - ANSWERS-amylase 300 units/L
the nurse should identify that a client who has acute pancreatitis can have _________. -
ANSWERS-elevated amylase level
30-220 units/dL - ANSWERS-amylase
rises within 12-24 hours of onset of pancreatitis. - ANSWERS-amylase
a nurse is caring for a client who has schizophrenia and states, "the government has
spies here monitoring me in my room." which of the following responses should the
nurse give?
a. the government is not monitoring your room.
b. what would you like me to do about the government being here?
c. i understand that you believe the government is here, but i don't see any evidence of
this.
d. let's go see if the government is monitoring your room. - ANSWERS-i understand that
you believe the government is here, but i don't see any evidence of this.
a nurse is reviewing the medical history of a client. the nurse should identify that which
of the following findings indicates the client is at risk for a stroke?
a. history of hypopituitarism.
b. takes a combination oral contraceptive.
c. drinks 150 mL of wine each day.
d. avoids saturated fats in cooking. - ANSWERS-takes a combination oral
contraceptive.