1. A client who has anorexia nervosa is more likely to have _____ resulting from extreme malnutrition. - lanugo
2. a client who has bulimia nervosa is
... [Show More] likely to have _______ caused by frequent exposure to gastric acid from vomiting. - dental caries and tooth erosion
3. extreme distractibility is a hallmark manifestation of _______. - delirium
4. criteria for hospitalization is weight loss over 30% of total body weight in _____months. - 6
5. severe hypothermia, a temperature lower than ________ due to loss of subcutaneous tissue or dehydration, requires hospitalization. - 96.8
6. fine hand tremors are an expected adverse effect of _____ and ca interfere with the client's ADLs, causing the client to stop taking the medication. - Lithium
7. the nurse should encourage the client to drink _____ of fluid each waking hour to maintain hydration. - 125 mL
8. an initial response to amitriptyline can develop in 1 week. For a client who has been severely depressed with suicidal ideation, the energy to carry out a plan is ____. - more possible after 1 week of treatment
9. clients who are taking tranylcypromine, an MAOI-antidepressent, should not take _____and other OTC medications for sinus, congestion, colds or allergies due to their actions on the sympathetic nervous system, which can results in severe hypertension. - phenylephrine
10. the nurse should identify that mild cognitive impairment, such as frequently misplacing objects, is one of the first manifestations expected to occur for a client who has ____. - Alzheimer's Disease
11. a client who is experiencing ___ is expected to have hypertension, tachycardia, and a fever greater than 38.3 (101 F) - alcohol withdrawal
12. a client who is experiencing alcohol withdrawal can experience profuse sweating and _____ pupils - dilated
13. benztropine is used to treat parkinsonism manifestations, such as _____ - shuffling gait
14. St. John's wort is an herbal preparation that decreases reuptake of serotonin. The nurse should advise the client that taking St. John's wort with another medication that also inhibits the reuptake of serotonin, such as ____, placed the client at risk for - paroxetine
15. _____ is common in clients who have depression. The nurse should allow the client extra time to comprehend and formulate an answer to the question. - slowed response time
16. The greatest risk to the client who is experiencing alcohol withdrawal is seizures, an elevated heart rate, and elevated blood pressure. ____ acts rapidly to prevent seizures, stabilize vital signs and decrease the intensity of withdrawal manifestations - IV Diazepam
17. it is the ____ responsibility to confront the staff member about her behavior toward the client. - charge nurse and the nurse manager
18. clients who have ____ can disrupt the therapeutic milieu for other clients. Therefore, the nurse should move this client to a private room. - bipolar disorder
19. the nurse should document the client's behavior every ____ while the client is in seclusion. - 15-30 min
20. the nurse should assess the client's behavior frequently during seclusion and should renew the prescription for seclusion for an adult client every ____ for a maximum of 24 hour. - 4 hr
21. normal levels of sodium and fluid need to be maintained to ensure adequate excretion of ____, - Lithium
22. The nurse should monitor the child for ___, which is an adverse effect of methylphenidate - tachycardia
23. a traumatic even that causes severe stress is a trigger for _____. - dissociative amnesia
24. Clients who have ____ need excessive input from others to make everyday decisions. - Dependent Personality Disorder
25. The nurse should teach the client that he is not responsible for his disorder but he is responsible for his ______. - Recovery
26. Envisioning oneself in a peaceful, calm environment enhances relaxation and is an example of using ____. - guided imagery
27. The rapid transition from on emotion to another and is a primary feature of borderline personality disorder. Clients who have borderline personality disorder react to situations with emotional responses that are out of proportion to the circumstances. - Emotional lability
28. The greatest risk to the child who has ADHD is injury from impulsive behavior and the decreased ability to perceive self-harm. Therefore, the priority intervention is to _____. - remove unnecessary equipment from the child's surroundings.
29. The seizure induced during ECT can stress the client's heart. Therefore, the nurse should plan to monitor the client's ___ during ECT via an electrocardiogram. - cardiac rhythm.
30. The nurse should frequently offer the client, high-calorie foods that can be eaten while the client is on the go. Clients experiencing ____ might be unable to sit down for meals and can experience weight loss and dehydration. - mania
31. A sodium level of 128 mEq/L should alert the nurse that the client is at risk for _____ because renal excretion of lithium is decreased in the presence of low sodium level. - Lithium toxicity
32. Clozapine can cause agranulocytosis, which can be fatal due to overwhelming infection. The nurse should identify a WBC below ______ as a possible manifestation of agranulocytosis and should withhold the medication and notify the provider. - 3000/mm3
33. This is an example of secondary prevention. By _____ the nurse can identify individuals who are at risk fr intimate partner abuse in the community and can take the necessary steps to address individual client needs. - establishing screening programs.
34. positive symptoms of schizophrenia usually appear suddenly and are alterations in behavior, perception, speech and thought. ____ are examples of positive symptoms. - delusions and an inability to think abstractly.
35. a child who has autism spectrum disorder usually has a ______ - language delay
36. _______ is a manifestation of depression and early identification of findings can lead to early intervention. - decreased social involvement.
37. The client experiences a situation crisis when ____ - an unexpected event occurs.
38. The hospitalization of the mentally ill act of 1964 requires that clients admitted to an inpatient mental health facility have a right to ______ - individualized treatment
39. The nurse should expect the client who is experiencing opioid withdrawal to have _____ and flu-like manifestations such as yawning, sneezing, and abdominal pain - rhinnorhea
40. Fluoxetine is a selective serotonin reuptake inhibitor that can cause ______ such as anorgasmia and impotence - sexual dysfunction
41. ECT can be used when: -
1.There is a need for rapid definitive response for a client who is suicidal
2.Bipolar disorder with rapid cycling
3.Mania and have not responded to medication therapy
42. During acute mania, the client is extremely active and _____, which can lead to relapse. - does not sleep
43. low weight, electrolyte imbalances, starvation and dehydration causes _____. - orthostatic hypotension
44. according to evidence-based practice, the nurse should first inform the client about ____ during the orientation phase of the nurse-client relationship. - confidentiality.
45. a stage IV pressure ulcer on an older adult client who is bedbound can indicate physical neglect and warrants____. - mandatory reporting
46. succinylcholine is a muscle -paralyzing agent that will ____ during the procedure so that injury is less likely to occur. - decrease muscle movement. [Show Less]