A nurse is monitoring a client who ingested an overdose of phenobarbital
sodium. For which of the following adverse effects of toxicity should the
nurse assess the client? -
correct answers - Respiratory depression
A nurse in a mental health facility is planning to promote the
development of a theraputic relationship with a newly admitted client.
Which of the following actions should the nurse plan to take? - correct
answers - Identify professional boundaries during the initial interaction
Incorporating the attributes or feelings of another person into oneself
- correct answers - Introjection
A nurse is assisting with the care of a client who is experiencing
acute alcohol withdrawal. Which of the following medications should
the nurse prepare to administer? - correct answers - Lorazepam;
this will maintain vitals, prevent seizures, and delirium tremens
A nurse on an inpatient mental health unit is planning care for a client
who was admitted following a suicide attempt. Which of the following
actions should the nurse include in the plan? - correct answers -
Observe the client swallow medications
A nurse is contributing to the plan of care for a newly admitted client who
has bipolar disorder and is experiencing acute mania. Which of the
following client goals should the nurse identify as the priority? - correct
answers - Adequate hydration-this prevents physical exhaustion,
maintains health, and meets nutritional and rest needs during this phase
of mania. Think of Maslows hierarchy of needs.
A nurse is caring for a client with alcohol use disorder. Following alcohol
withdrawl, which of the following medications should the nurse expect to
administer to the client during maintenence? - correct answers -
Disulfiram (Antabuse)
Medication that is given to patients who are withdrawing from opioids
- correct answers - Methadone
Medication that is administered during alcohol withdrawl - correct
GRADED
answers - Chlordiazepoxide- helps prevent seizures and delirium
A+
tremens
, Medication that is administered during an opioid/narcotic overdose -
correct answers
- Naloxone
A home health nurse is talking with the partner of a client who has
dementia. Which of the following statements by the partner indicates that
the client is displaying signs of apraxia? - correct answers - "Yesterday
my partner put a jacket on upside down"
A nurse is observing a patient who has histrionic personality disorder.
Which of the following behaviors should the nurse expect? - correct
answers - The client whispers into the providers ear—acting
provocatively and seductively is an expected behavior of an individual
with histrionic personality disorder.
Patients who manifest expressionless demeanor and exhibit social withdrawl
have this personality disorder - correct answers - Schizoid personality
disorder
Patients who manifest constant reassurance due to a lack of self
confidence and an excessive need to be cared for have this personality
disorder - correct answers - Dependent personality disorder
A nurse is reinforcing teaching with a client who has bipolar disorder and a
new prescription for valproic acid. The nurse should explain that the
provider will routinely prescribe which of the following tests while the
client is taking valproic acid? -
correct answers - LFT's— due to the risk of hepatotoxicity
A nurse is collecting data from a client who is taking lithium to treat
bipolar disorder and has a lithium level of 2.2 mEq/L. Which of the
following findings should the nurse expect? - correct answers - Blurry
vision—Lithium toxicity occurs between 2-2.5; sx. Include blurry vision,
ataxia, clinic twitching, severe hypotension, and polyuria.
Early signs of lithium toxicity - correct answers - Levels between
1.0-1.5 = Fine tremors, nausea, vomiting, diarrhea, muscle weakness,
lethargy
Adverse effect of lithium - correct answers - Hypothyroidism
Late signs of lithium toxicity - correct answers - Levels above 2.5 =
seizures and Liguria; levels above 3.5 = delirium, cardiovascular
collapse, coma, and death
A nurse is reviewing the laboratory report of a patient who is taking
risperidone. The nurse should identify that which of the following results
GRADED
indicates
A+ a potential adverse reaction to the medication? - correct
answers - Elevated blood glucose
A nurse is caring for a newly admitted client who is recieving treatment for
alcohol use disorder. The client tells the nurse, "I have not had anything to
drink for 6 hours".
sodium. For which of the following adverse effects of toxicity should the
nurse assess the client? -
correct answers - Respiratory depression
A nurse in a mental health facility is planning to promote the
development of a theraputic relationship with a newly admitted client.
Which of the following actions should the nurse plan to take? - correct
answers - Identify professional boundaries during the initial interaction
Incorporating the attributes or feelings of another person into oneself
- correct answers - Introjection
A nurse is assisting with the care of a client who is experiencing
acute alcohol withdrawal. Which of the following medications should
the nurse prepare to administer? - correct answers - Lorazepam;
this will maintain vitals, prevent seizures, and delirium tremens
A nurse on an inpatient mental health unit is planning care for a client
who was admitted following a suicide attempt. Which of the following
actions should the nurse include in the plan? - correct answers -
Observe the client swallow medications
A nurse is contributing to the plan of care for a newly admitted client who
has bipolar disorder and is experiencing acute mania. Which of the
following client goals should the nurse identify as the priority? - correct
answers - Adequate hydration-this prevents physical exhaustion,
maintains health, and meets nutritional and rest needs during this phase
of mania. Think of Maslows hierarchy of needs.
A nurse is caring for a client with alcohol use disorder. Following alcohol
withdrawl, which of the following medications should the nurse expect to
administer to the client during maintenence? - correct answers -
Disulfiram (Antabuse)
Medication that is given to patients who are withdrawing from opioids
- correct answers - Methadone
Medication that is administered during alcohol withdrawl - correct
GRADED
answers - Chlordiazepoxide- helps prevent seizures and delirium
A+
tremens
, Medication that is administered during an opioid/narcotic overdose -
correct answers
- Naloxone
A home health nurse is talking with the partner of a client who has
dementia. Which of the following statements by the partner indicates that
the client is displaying signs of apraxia? - correct answers - "Yesterday
my partner put a jacket on upside down"
A nurse is observing a patient who has histrionic personality disorder.
Which of the following behaviors should the nurse expect? - correct
answers - The client whispers into the providers ear—acting
provocatively and seductively is an expected behavior of an individual
with histrionic personality disorder.
Patients who manifest expressionless demeanor and exhibit social withdrawl
have this personality disorder - correct answers - Schizoid personality
disorder
Patients who manifest constant reassurance due to a lack of self
confidence and an excessive need to be cared for have this personality
disorder - correct answers - Dependent personality disorder
A nurse is reinforcing teaching with a client who has bipolar disorder and a
new prescription for valproic acid. The nurse should explain that the
provider will routinely prescribe which of the following tests while the
client is taking valproic acid? -
correct answers - LFT's— due to the risk of hepatotoxicity
A nurse is collecting data from a client who is taking lithium to treat
bipolar disorder and has a lithium level of 2.2 mEq/L. Which of the
following findings should the nurse expect? - correct answers - Blurry
vision—Lithium toxicity occurs between 2-2.5; sx. Include blurry vision,
ataxia, clinic twitching, severe hypotension, and polyuria.
Early signs of lithium toxicity - correct answers - Levels between
1.0-1.5 = Fine tremors, nausea, vomiting, diarrhea, muscle weakness,
lethargy
Adverse effect of lithium - correct answers - Hypothyroidism
Late signs of lithium toxicity - correct answers - Levels above 2.5 =
seizures and Liguria; levels above 3.5 = delirium, cardiovascular
collapse, coma, and death
A nurse is reviewing the laboratory report of a patient who is taking
risperidone. The nurse should identify that which of the following results
GRADED
indicates
A+ a potential adverse reaction to the medication? - correct
answers - Elevated blood glucose
A nurse is caring for a newly admitted client who is recieving treatment for
alcohol use disorder. The client tells the nurse, "I have not had anything to
drink for 6 hours".
