ATI RN Mental Health

After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and his pulse is 58 beats per minute. These types of data would be: a. Objective. b. Reflective. c. Subjective. d. Introspective. - ANS A Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating during the physical examination. Subjective data is what the person says about him or herself during history taking. The ter...

Serum creatinine - Produced due to protein and muscle breakdown Serum creatinine - This will be elevated in the event of kidney disease. Kidney function loss has to be at least 50%. BUN - Blood urea nitrogen. Results from breakdown of protein in the liver BUN - Factors that affect this are: - dehydration - infection - chemotherapy - steroid therapy - reabsorption of blood in the liver from damaged tissue Urinalysis - Collection of early morning specimen provides a more concentra...

A nurse on an inpatient mental health unit is monitoring a visit between a client who has a history of aggressive behavior and the client's partner. Which of the following observations should the nurse identify as an indication for potential violence? a. The client is taking numerous deep, measured breaths b. The client is calmly telling their partner that "the staff here is so controlling" c. The client is sitting with their head in their hands and appears to be crying d. The client is pa...

A nurse is caring for a client who has chronic kidney disease (CKD) and states she has heartburn. The provider prescribes aluminum hydroxide. The client asks, "Why can't I just take the antacid magaldrate my husband has at home?" The nurse explains to the client that aluminum hydroxide is the preferred antacid because it lowers which of the following? 1. Serum phosphorus levels 2. Serum potassium levels 3. Serum magnesium levels 4. Serum calcium levels - 1. Serum phosphorus levels A nurse...

A nurse is reinforcing teaching with a client who has a history of UTIs. Which of the following statements should indicate to the nurse the need for additional instructions? - "I will use a vaginal douche daily" [The client should avoid vaginal douches, bubble baths, and any substances that can increase the risk for UTIs. The client should use mild soap and water to wash the perineal area.] A nurse is reinforcing teaching a client prior to a renal biopsy. Which of the following statements sh...

Check the client's electrolyte values - A nurse is caring for a client who is in the olgiuria-anuric stage of AKI. The client reports diarrhea, a dull headache, palpitations, and muscle tingling and weakness. Which of the following actions should the nurse take first? Calcium - A nurse is providing dietary teaching to a client who has late-stage CKD. Which of the following nutrients should the nurse instruct the client to increase in her diet? "You should not ejaculate for 24 hours prior...

A nurse is completing the admission assessment of a client who has renal calculi. Which of the following findings should the nurse expect? a. bradycardia b. diaphoresis c. nocturia d. bradypnea - B. diaphoresis A nurse is reviewing discharge instructions with a client who had spontaneous passage of calcium phosphate renal calculus. Which of the following instructions should the nurse include in the teaching? (select all that apply) a. limit intake of food high in animal protein b. r...

A nurse is collecting data from a client who has an injury to the lower abdomen following a motor-vehicle crash. The nurse should identify that which of the following findings is a manifestation of bladder trauma? - Hematuria A nurse is reinforcing teaching with a newly licensed nurse about caring for a client who has a new left arteriovenous fistula. Which of the following statements should the nurse make? - "Avoid taking blood pressures on the client's left arm." A nurse is reinforcing t...