ATI RN Mental Health Practice 2019 A (V3) |60 Questions and Verified Answers ()
QUESTION
A nurse is caring for a tachycardic, hypertensive, febrile
... [Show More] client who is experiencing alcohol withdrawal.
The client states he consumed alcohol 12 hr prior to admission and has a 2 pack/day smoking history.
Documents tremors of hands and fingers bilaterally. Emesis 30 ml bile-colored fluid. diaphoretic and has flushed skin.
Which of the following medications should the nurse administer first?
A. Diazepam 5 mg IV bolus
B. Clonidine 0.1 mg transdermal patch
C. Naltrexone 380 mg IM
D. Bupropion 150 mg PO
Answer:
A. Diazepam 5 mg IV bolus
The greatest risk to the client experiencing alcohol withdrawal is seizures and an elevated heart rate and BP. IV Diazepam acts rapidly to prevent seizures, stabilize VS, and decrease the intensity of withdrawal symptoms.
QUESTION
A nurse is caring for a group of clients. Which of the following findings should the nurse report?
A. A client who is taking clozapine and has a WBC count of 7,500/mm3
B. A client who is taking lamotrigine and has developed a rash
C. A client who is taking valproate and has plt count of 150,000/mm3
D. A client who is taking lithium and has a lithium level of 1.2 mEq/L
Answer:
B. A client who is taking lamotrigine and has developed a rash
lamotrigine is an anit-covulsant medication used as a mood stabilizer. A rash is a potentially life-threatening effect of the med.
QUESTION
A nurse is admitting a client who has schizophrenia to an acute setting. When the nurse questions the client regarding their admission, the client states, "I'm red, in the head, and I'm going to bed!" The nurse should document the client's speech pattern as which of the following?
A. Clang association
B. Word salad
C. Neologism
D. Echolalia
Answer:
A. Clang association
QUESTION
A nurse is planning care for a client who had depression and has made frequent suicide attempts. Which of the following statements indicate the client has a decreased risk for suicide?
A. "I'm relieved now that my financial affairs are in order"
B. "It is easier to talk about my feelings now"
C. "Suddenly I have enough energy to do anything I want"
D. "Thank you for always taking such good care of me"
Answer:
B. "It is easier to talk about my feelings now"
QUESTION
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. A client who has a fasting blood glucose level of 80 mg/dl
B. A client who has a sodium level of 128 mEq/l
C. A client who has a BUN of 18 mg/dl [Show Less]