PN mental health Liberty University -PN VATI Mental Health verified/passed

PN VATI Mental HealthAn ______ is an unexpected response to ECT. During the procedure, the client's heart can be stressed, which can cause cardiac abnormalities. especially if the client already has impaired cardiac function. The nurse should document this finding and notify the charge nurse or the client's provider. - correct answer Irregular heart rhythm. Clients who have alcohol use disorder are at risk for the development of abstinence syndrome. Manifestations of abstinence syndrome occur 12 to 72 hr after the client has last consumed alcohol and can include tachycardia, hypertension, and an elevated temperature. Therefore, the first action the nurse should take when using the airway, breathing, circulation (ABC) approach to client care is to check the client's _______to monitor for signs of abstinence syndrome. - correct answer vital signs The nurse should reinforce to the client's child that _______is a common adverse effect of ECT. - correct answer short term memory loss The priority action the nurse should take when using Maslow's hierarchy of needs is to meet the client's physiological need for food and fluids. The priority nursing action is to frequently. Offer the client ______ to prevent dehydration and ensure the client's caloric is adequate to meet intake physical needs for a client who is in the manic phase of bipolar disorder. - correct answer high calorie fluids The nurse should instruct the client that______ can indicate hepatoxicity or pancreatitis, both adverse effects of valproic acid; therefore, the client should report this to the provider. - correct answer abdominal pain. A nurse is establishing a therapeutic relationship with a client who has generalized anxiety disorder. Which of the following actions should the nurse take first? - correct answer Explain confidentiality guidelines to the client. Evidence-based practice indicates that the nurse should first begin a therapeutic relationship with the orientation phase. During this phase, the nurse should explain the guidelines for confidentiality. This initial step in developing a therapeutic relationship builds trust between the client and the nurse.