A client who has anorexia nervosa is more likely to have ______ resulting from
extreme malnutrition.
lanugo
A client who has bulimia nervosa is likely
... [Show More] to have ________ caused by frequent
exposure to gastric acid from vomiting.
dental caries and tooth erosion
Extreme distractibility is a hallmark manifestation of ______.
delirium
Criteria for hospitalization is weight loss over 30% of total body weight in __
months.
6
Severe hypothermia, a temperature lower than ________ due to loss of
subcutaneous tissue or dehydration, requires hospitalization.
96.8° F
Fine hand tremors are an expected adverse effect of ________ and can interfere
with the client's ADLs, causing the client to stop taking the medication.
lithiumThe nurse should encourage the client to drink _______ of fluid each waking hour
to maintain hydration.
125 mL
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.
Clients who are taking tranylcypromine, an MAOI antidepressant, should not take
_______ and other over-the-counter medications for sinus congestion, colds, or
allergies due to their actions on the sympathetic nervous system, which can result
in severe hypertension,
phenylephrine
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
A client who is experiencing ______ is expected to have hypertension, tachycardia,
and a fever greater than 38.3° C (101° F).
alcohol withdrawal
A client who is experiencing alcohol withdrawal can experience profuse sweating
and _______ pupils
dilated
Benztropine is used to treat parkinsonism manifestations, such as _________.
shuffling gaitSt. John's wort is an herbal preparation that decreases the 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 _______, places the
client at risk for
paroxetine
_________ is common in clients who have depression. The nurse should allow the
client time to comprehend and formulate an answer to the question.
Slowed response time
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
It is the _______ responsibility to confrontthe staff member about her behavior
toward the client.
charge nurse and the nurse manager
Clients who have __________ can disrupt the therapeutic milieu for other clients.
Therefore, the nurse should move this client to aprivate room.
bipolar disorder
The nurse should documentthe client's behavior every ______ while the client is
in seclusion.
15 to 30 minThe nurse should assess the client's behavior frequently during seclusion and
shouldrenew the prescription for seclusion for an adult client every __________,
for a maximum of 24 hr.
4 hr
Normal levels of sodiumand fluid need to be maintained to ensure adequate
excretion of ______.
lithium
The nurse should monitor the child for _______, which is an adverse
effect of methylphenidate.
tachycardia
A traumatic event that causes severe stress is a trigger for ________.
dissociative amnesia.
Clients who have _______ need excessive input from others to make everyday
decisions.
dependent personality disorder
The nurse should teach the client that he is notresponsible for his disorder, but he is
responsible for his __________.
recovery
Envisioning oneself in a peaceful, calm environment enhances relaxation and is an
example of using _______________.
guided imageryEmotional lability
The rapid transition from one 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.
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 equipmentfrom the child's surroundings.
The seizure induced during ECT can stress the client's heart. Therefore, the nurse
should plan to monitor the client's_______during ECTvia an electrocardiogram.
cardiac rhythm
The nurse should frequentlyoffer 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
A sodium level of 128 mEq/Lshould alert the nurse that the client is at risk for
_________because renal excretion of lithium is decreased in the presence of a low
sodium level.
lithium toxicity
Clozapine can cause agranulocytosis, which can be fatal due to overwhelming
infection. The nurse should identify a WBC count below ________ as a possible
manifestation of agranulocytosis and should withhold the medication and notify
the provider.3000/mm3
This is an example of secondary prevention. By ________, the nurse can identify
individuals who are at risk for intimate partner abuse in the community and can
take the necessary steps to address individual client needs.
establishing screening programs
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
A child who has autism spectrum disorder usually has a _______.
language delay.
__________ is a manifestation of depression, and early identification of findings
can lead to early intervention.
Decreased social involvement
The client experiences a situational crisis when _______.
an unexpected event occurs
The Hospitalization of the Mentally Ill Act of 1964 requires that clients admitted to
an inpatient mental health facility have a right to __________.
Individualized treatmentThe nurse should expect the client who is experiencing opioid withdrawal to have
_______ and flu-like manifestations such as yawning, sneezing, and abdominal
pain.
rhinorrhea
Fluoxetine is a selective serotonin reuptake inhibitorthat can cause ________ such
as anorgasmia and impotence.
sexual dysfunction [Show Less]