Nurs 465 Questions Exam 3 Questions With Complete
Solutions
A client arrives at the emergency department by ambulance. The
client is unconscious, with slow respirations and pinpoint pupils.
The friend who came with the client reports that the client had
just "shot up" heroin and became unconscious. Which
medication would the nurse most likely expect to administer?
Correct Answers naloxone
A client diagnosed with borderline personality disorder tells the
nurse that they "frequently space out." Which response by the
nurse is appropriate? Correct Answers What's happening
around you when this occurs?
A client has been prescribed naltrexone (Trexan) for treatment
of alcohol dependence. The nurse has explained the drug's
purpose to the client. The nurse determines that the client has
understood the instructions when the client identifies which
information about the drug? Correct Answers reduces the
appeal of alcohol
A client is admitted to the hospital with dementia related to
Parkinson disease. The client is being treated for a fractured
tibia from a recent fall. The nurse should assess the client's
history for use of which type of medication? Correct Answers
Anticholinergics
A client is being treated for chronic alcoholism, the nurse notes
the client is wearing a stethoscope and asks the client where the
stethoscope came from. The client gives a rambling response
,that the nurse knows is not accurate. The nurse suspects that the
client may be experiencing which condition? Correct Answers
Korsakoff's amnestic syndrome
A client is brought into the emergency department after a motor
vehicle collision. The client's blood alcohol level (BAL) is 0.10
mg%. What assessment findings does the nurse attribute to this
BAL? Correct Answers Difficulty with coordination
A client is brought into the emergency department because of
reports from the neighbors that the client was acting strangely.
The nurse assesses the client and suspects schizotypal
personality disorder based on assessment of which symptoms?
(Select all that apply.) Correct Answers Magical Beliefs
Hallucinations
Paranoia
Avoidance of eye contact
A client is brought to the emergency department after having
overdosed on cocaine. When assessing the client, which
conditions would the nurse document as evidence of cocaine
overdose? (Select all that apply.) Correct Answers Seizures
Cardiac arrhythmia
A client is brought to the emergency department by his wife.
The wife states that over the past few hours, the client has
become disoriented and confused. "He didn't know where he
was and didn't seem to recognize me or be able to carry on a
coherent conversation." The nurse suspects delirium. When
reviewing the client's medication history with the wife, which of
, the following medications would alert the nurse to a potential
cause? (Select all that apply.) Correct Answers Propranolol
Diphenhydramine
Quinidine
A client is committed to trying to quit smoking. When educating
the client on smoking cessation, which information would the
nurse include? Correct Answers Success usually involves more
than one type of intervention.
A client is prescribed disulfiram as part of an alcohol treatment
program to prevent relapse. The client asks the nurse, "How will
this drug help me?" Which response by the nurse is most
appropriate? Correct Answers "It can help to prevent you from
drinking."
A client is receiving methadone maintenance therapy. After
teaching the client about this treatment, the nurse determines
that the education was successful when the client makes which
statement? Correct Answers "I should eat small frequent meals
if I get nauseated."
A client who used to drink about six cups of coffee and several
diet cola drinks per day reports to the nurse, "I just cut down my
coffee and soda intake to one per day." Which assessment
findings would the nurse expect? (Select all that apply.) Correct
Answers headache
fatigue
yawning
Solutions
A client arrives at the emergency department by ambulance. The
client is unconscious, with slow respirations and pinpoint pupils.
The friend who came with the client reports that the client had
just "shot up" heroin and became unconscious. Which
medication would the nurse most likely expect to administer?
Correct Answers naloxone
A client diagnosed with borderline personality disorder tells the
nurse that they "frequently space out." Which response by the
nurse is appropriate? Correct Answers What's happening
around you when this occurs?
A client has been prescribed naltrexone (Trexan) for treatment
of alcohol dependence. The nurse has explained the drug's
purpose to the client. The nurse determines that the client has
understood the instructions when the client identifies which
information about the drug? Correct Answers reduces the
appeal of alcohol
A client is admitted to the hospital with dementia related to
Parkinson disease. The client is being treated for a fractured
tibia from a recent fall. The nurse should assess the client's
history for use of which type of medication? Correct Answers
Anticholinergics
A client is being treated for chronic alcoholism, the nurse notes
the client is wearing a stethoscope and asks the client where the
stethoscope came from. The client gives a rambling response
,that the nurse knows is not accurate. The nurse suspects that the
client may be experiencing which condition? Correct Answers
Korsakoff's amnestic syndrome
A client is brought into the emergency department after a motor
vehicle collision. The client's blood alcohol level (BAL) is 0.10
mg%. What assessment findings does the nurse attribute to this
BAL? Correct Answers Difficulty with coordination
A client is brought into the emergency department because of
reports from the neighbors that the client was acting strangely.
The nurse assesses the client and suspects schizotypal
personality disorder based on assessment of which symptoms?
(Select all that apply.) Correct Answers Magical Beliefs
Hallucinations
Paranoia
Avoidance of eye contact
A client is brought to the emergency department after having
overdosed on cocaine. When assessing the client, which
conditions would the nurse document as evidence of cocaine
overdose? (Select all that apply.) Correct Answers Seizures
Cardiac arrhythmia
A client is brought to the emergency department by his wife.
The wife states that over the past few hours, the client has
become disoriented and confused. "He didn't know where he
was and didn't seem to recognize me or be able to carry on a
coherent conversation." The nurse suspects delirium. When
reviewing the client's medication history with the wife, which of
, the following medications would alert the nurse to a potential
cause? (Select all that apply.) Correct Answers Propranolol
Diphenhydramine
Quinidine
A client is committed to trying to quit smoking. When educating
the client on smoking cessation, which information would the
nurse include? Correct Answers Success usually involves more
than one type of intervention.
A client is prescribed disulfiram as part of an alcohol treatment
program to prevent relapse. The client asks the nurse, "How will
this drug help me?" Which response by the nurse is most
appropriate? Correct Answers "It can help to prevent you from
drinking."
A client is receiving methadone maintenance therapy. After
teaching the client about this treatment, the nurse determines
that the education was successful when the client makes which
statement? Correct Answers "I should eat small frequent meals
if I get nauseated."
A client who used to drink about six cups of coffee and several
diet cola drinks per day reports to the nurse, "I just cut down my
coffee and soda intake to one per day." Which assessment
findings would the nurse expect? (Select all that apply.) Correct
Answers headache
fatigue
yawning
