A nurse is caring for a client who has cirrhosis of the liver due to alcohol use disorder.
Which of the following findings should the nurse suspect?
-
... [Show More] Acrocyanosis
- Arrhythmias
- Ascites *
- Weight gain
2. A nurse is collecting data from a client who has binge-eating disorder. Which of the
following findings should the nurse expect?
- Amenorrhea
- Abdominal pain *
- Restricted caloric intake
- Frequent use of laxatives
3. A nurse is assisting with the collection of admission data for a client who has anorexia
nervosa. The client has lost 11.4 kg (25 lb) over the past month and currently weighs 38.6
kg (85 lb). The nurse should expect which of the following findings?
- Flushed extremities
- Hyperkalemia
- Loose stools
- Amenorrhea *
4. A nurse is caring for a client who has alcohol use disorder. Following withdrawal, which
of the following medications should the nurse expect to administer to the client during
maintenance?
- Methadone
- Disulfiram *
- Chlordiazepoxide
- Naloxone5. A nurse is collecting data from a client who has post-traumatic stress disorder (PTSD)
due to a sexual assault that occurred 3 months ago. Which of the following findings
should the nurse expect?
- Increased hours of sleep each day
- Repeatedly talking about the assault
- Dreams about the assault *
- Decreased responsiveness to stimuli
6. A nurse in an acute mental health facility is participating in a nursing staff discussion
about the legal aspects of involuntary admissions. Which of the following information
should the nurse include?
- A client who is involuntarily admitted must take prescribed medications
- An involuntary admission of a client is limited to 2 weeks
- A client who is involuntarily admitted can leave the facility against medical advice
- An involuntary admission is justified if the client is a danger to others *
7. A nurse in a mental health unit is contributing to the plan of care for a client who is
receiving treatment for self-inflicted injuries. The nurse should identify which of the
following interventions as the priority for this client.
- Promoting and maintaining the client safety *
- Discussing reasons for the client’s behavior
- Assisting the client to recognize feelings
- Reinforcing teaching with the client about alternative coping strategies
8. A nurse in an acute mental health facility is assisting with the plan of care for a client
who has obsessive-compulsive disorder (OCD). Which of the following actions should
the nurse recommend?
- Encourage the client to focus on personal hygiene
- Limit the hours the client sleeps each day
- Instruct the client to practice thought stopping *
- Make negative statements about the client’s behavior
9. 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?- Electrocardiogram
- Chest X-ray
- Thyroid function tests
- Liver function levels *
10. A nurse in the emergency room is collecting data from a client who has heroin
intoxication. Which of the following findings should the nurse expect?
- Seizure activity
- Respiratory depression *
- Hypersensitivity to pain
- Increased mental alertness
11. A nurse is assisting with a community presentation about Alzheimer’s disease. The nurse
should conclude that a member of the group requires further reinforcement of teaching
when she identifies which of the following findings as a manifestation of Alzheimer’s
disease?
- Impaired judgment
- Sudden confusion *
- Decreased attention span
- Short-term memory loss
12. A nurse is collecting data from a client who has cocaine intoxication. Which of the
following findings should the nurse expect?
- Low blood pressure
- Increased mental alertness *
- Flat affect
- Decreased body temp
13. A nurse is assisting with the admission of a client who has antisocial personality disorder
to an acute care unit. The client is admitted under court order following the theft and
destruction of a car. Which of the following behaviors should the nurse expect the client
to display?
- Relief about finally receiving care for a problem for which he was previously afraid
to ask for help
- Anger with the nursing staff for hospitalizing him against his will *- Withdrawal from others due to shame over his recent actions
- Remorse for stealing and destroying the car
14. A nurse is contributing to the plan of care for a client who has anorexia nervosa. The
nurse should identify that which of the following actions is contraindicated for this
client?
- Explaining that tube feedings are necessary if the client refuses oral intake
- Weighing the client each day prior to any oral intake
- Permitting the client to spend some quiet time alone after each meal *
- Refraining from commenting on what the client is eating during mealtime
15. A nurse is contributing to the plan of care for a client who has physical dependence to
alprazolam and must discontinue the medication. Which of the following actions should
the nurse recommend?
- Taper the medication gradually over several weeks *
- Encourage participation in stimulating physical activity
- Monitor the client for a return of anxiety for up to 72 hrs following discontinuation of
the medication
- Implement restraints and seclusion as needed
16. A nurse is preparing to administer a benzodiazepine to a client who has generalized
anxiety disorder. The nurse should tell the client to expect which of the following adverse
effects?
- Tinnitus
- Bradycardia
- Halitosis
- Sedation *
17. A nurse is collecting data from a client who takes an MAOI for the treatment of
depression. Which of the following findings is the priority for the nurse to report to the
provider?
- Elevated BP *
- Weight gain
- Muscle twitching
- 2+ peripheral edema18. A nurse in an acute substance disorder unit is collecting data from a client who received
treatment in the emergency department for an opioid overdose. Which of the following
findings should the nurse anticipate during opioid withdrawal?
- Calmness
- Anxiety *
- Hypotension
- Bradycardia
19. A nurse is reinforcing teaching with a client who has generalized anxiety disorder and a
new prescription for buspirone. The nurse should inform the client that which of the
following manifestation is an adverse effect of this medication?
- Olig [Show Less]