MENTAL HEALTH ATI PROCTORED EXAM Q&A GRADED A+
A client who has bulimia nervosa is likely to have caused by frequent exposure to gastric acid from
... [Show More] 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.
lithium
The 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.
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 gait
St. 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
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 min
The 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
Clients who have need excessive input from others to make everyday decisions.
dependent personality disorder
Emotional 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 [Show Less]