RN Mental Health Online Practice 2019 B.

RN Mental Health Online Practice 2019 B. Methylphenidate The nurse should monitor the child for tachycardia when looking for signs of methylphenidate. Adverse effects of methylphenidate include excessive sweating, headache, dry mouth, loss of appetite, fast heart rate. 12-step program with alcohol disorder Peer support has been shown to increase program attendance and the chances of recovery for alcoholics. If the client does not have a sponsor, they can be assigned one when they begin attending a 12- step program. Clients should obtain a sponsor before discharge to increase the chance of recovery in a 12-step program. Ethical principle of justice Spending adequate time with a client who is verbally abusive is an ethical principle of justice. When the nurse spends an appropriate amount of time with each client regardless of their behavior and in keeping with their individual needs, the nurse guarantees that all clients receive equal care. Bulimia Nervosa A client who has bulimia nervosa is likely to have dental caries and tooth erosion. tooth erosion is usually caused by frequent exposure to gastric acid from vomiting which comes from bulimia nervosa. For a client who has bulimia nervosa, repeated vomiting erodes tooth enamel the guardians that regular dental checkups are important for a client who has bulimia nervosa Phenylephrine Clients who are taking tranylcypromine should not take phenylephrine and other over-thecounter medications for sinus congestion, colds, or allergies. Tranylcypromine and phenylephrine should not be taken at the same time due to their actions on the sympathetic nervous system, which can result in severe hypertension. Tranylcypromine is an MAOI antidepressant Alcoholic cardiomyopathy An increase in CPK occurs with cardiomyopathy. CPK stands for Creatine phosphokinase CPK is a muscle enzyme released when muscle tissue is damaged Assertive community treatment Assertive community treatment provides comprehensive, community-based services to clients who have severe mental illness based upon individualized needs. Assertive community treatment services are available in any setting, including the client's home, 24 hours per day and provide crisis intervention, medication services, and advocacy. This study source was downloaded by from CourseH on :05:42 GMT -06:00 Interventions for mania With bipolar disorder, the nurse should frequently offer the client high-calorie foods that can be eaten while the client is on the go. Clients experiencing mania might be unable to sit down for meals and can experience weight loss and dehydration. Alcohol withdrawal Physical manifestations of alcohol withdrawal occur in addition to psychological effects. A client who is experiencing alcohol withdrawal is expected to have hypertension, tachycardia, and fever greater than 38.3° C (101° F). It is important for the nurse to rule out infection in the client who has a fever.