NSG 211 EXAM 2 ATI REVIEW QUESTIONS AND CORRECT ANSWERS.

A nurse is caring for a client who has bipolar disorder and a new prescription for valproate. Which of the following instructions should the nurse give the client about the use of the medication? A) thyroid function tests should be performed every 6 mths B) liver function tests must be monitored C) high serum sodium levels can cause toxic levels of valproate D) a pretreatment electroencephalogram (EEG) will be done - Answer B) pancreatitis, hepatic dysfunction, and thrombocytopenia are adverse effects of valproate A nurse is assessing a child and notes several bruises. Which of the following actions should the nurse take? A) separate the child from the parents B) ask a psychiatrist to talk w the parents C) report the suspected abuse to the authorities D) obtain a detailed history - Answer D) assess for other indicators of abuse Carbamazepine - Answer Anti-seizure med and mood stabilizer, is prescribed to treat and prevent mania in clients who have bipolar disorder Lorazepam (Ativan) - Answer Benzodiazepine, sedative, hypnotic med, used to treat anxiety Propranolol - Answer Beta blocker, used to treat HTN and other heart conditions, can treat anxiety sx's as well by lowering BP What is included in the mental status examination (MSE) on a client who has a new diagnosis of dementia? - Answer Grooming, long term memory, affect Gingko biloba - Answer Herbal medication used by clients to improve Agee-related memory loss as well as to decrease leg pain in clients w PAD -rx may suppress coagulation, cause spontaneous bleeding (nose bleeds, bleeding gums)