A nurse in the emergency department is caring for a client who has alcohol toxicity and is unresponsive. Which of the following interventions should the nurse take?
Gather supplies for endotracheal intubation
Key Terms
A nurse in the emergency department is caring for a client who has alcohol toxicity and is unresponsive. Which of the following interventions should the nurse take?
Gather supplies for endotracheal intubation
A client who has a recent diagnosis of bipolar disorder is placed in a room with a client who has severe depression. The client who has depression reports to the nurse, "My roommate never sleeps and keeps me up, too." Which of the following actions should the nurse take?
Move the client who has bipolar disorder to a private room.
A nurse is planning care for a client who has generalized anxiety disorder. At which of the following levels of anxiety should the nurse plan to teach the client relaxation techniques?
Mild
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| Term | Definition |
|---|---|
A nurse in the emergency department is caring for a client who has alcohol toxicity and is unresponsive. Which of the following interventions should the nurse take? | Gather supplies for endotracheal intubation |
A nurse is assessing a client who recently used cocaine. Which of the following findings should the nurse expect? | Hypertension |
A client who has a recent diagnosis of bipolar disorder is placed in a room with a client who has severe depression. The client who has depression reports to the nurse, "My roommate never sleeps and keeps me up, too." Which of the following actions should the nurse take? | Move the client who has bipolar disorder to a private room. |
A nurse is planning care for a client who has generalized anxiety disorder. At which of the following levels of anxiety should the nurse plan to teach the client relaxation techniques? | Mild |
A nurse is caring for a child who is taking methylphenidate. The nurse should monitor the child for which of the following findings as an adverse effect of methylphenidate? | Tachycardia |
A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include in the plan of care? | Offer the client high-calorie finger foods frequently. |
A nurse is assessing a client who has borderline personality disorder. Which of the following findings should the nurse expect? | Emotional Lability |
A nurse is caring for an older adult client who begins to cry and states, 'I knew God would punish me and I deserve this horrible sickness!'. Which of the following responses should the nurse make? | 'Let's talk about what is upsetting you.' |
A nurse is performing a cognitive assessment to distinguish delirium from dementia in a client whose family reports episodes of confusion. Which of the following assessment findings supports the nurse's suspicion of delirium? | Easily Distracted |
A nurse in a clinic is assessing a client whose partner died 4 months ago. Which of the follow statements indicates that the client is at risk for complicated grief? | 'I feel so empty without my wife that it's hard to get up every morning.' |
A nurse is reviewing routine laboratory values for several clients who are taking lithium carbonate. Which of the following clients should the nurse assess further for findings indicating lithium toxicity? | A client who has a sodium level of 128 mEq/L |
A nurse is planning care for a client who is to undergo electroconvulsive therapy (ECT). Which of the following actions should the nurse include in the plan? | Monitor the client's cardiac rhythm during the procedure. |
A nurse in a provider's office is collecting a health history from the guardian of a school age child who has been taking atomoxetine. Which of the following adverse effects reported by the guardian is the priority for the nurse to report to the provider? | Dark urine |
A nurse is teaching the partner of a client who has bipolar disorder how to identify manifestations of acute mania. Which of the following findings should the client's partner report to the provider? | Inability to sleep |
A nurse on an acute mental health facility is receiving a change of shift report for four clients. Which of the following clients should the nurse assess first? | A client who is experiencing delusions of persecution |
A nurse is educating the parent of a child who has a new diagnosis of autism spectrum disorder. Which of the following manifestations of this disorder should the nurse include in the teaching? | Language Delay |
A nurse is planning prevention strategies for partner violence in the community. Which of the following strategies should the nurse include as a method of secondary prevention? | Establish screening programs to identify at-risk clients. |
A nurse is planning discharge teaching for a client who has severe schizoaffective disorder. The nurse should identify that which of the following treatment options can offer interdisciplinary services for the client at home? | Assertive community treatment |
A nurse in a community health center is counseling a family of two parents and two children. Which of the following statements by a family member indicates manipulative behavior? | 'If you do my homework for me, I won't bother you for the rest of the day.' |
A nurse is caring for a group of clients. Which of the following findings is the nurse required to report? | A client who has borderline personality disorder threatened to harm their roommate. |