The daughter of a female client diagnosed with Alzheimer's disease reports to the nurse that her mother has recently lost her appetite and refuses to eat.
... [Show More] The client recently started taking rivastigmine tartrate (Exelon). What instructions are important for the nurse to provide the client's daughter? - ANSWER The prescriber should be notified about this adverse effect of the medication right away.
Which assessment findings indicate to the practical nurse that a client is experiencing stress? (Select all that apply.) - ANSWER Tapping foot and chewing on fingernail
Stating a recent lack of sexual desire
Reporting a feeling of always being thirsty.
A client is admitted with extensive burns and is crying during dressing change treatment. The client tells the nurse, "Please let me die. Why are you all torturing me like this? I just want to die." Which response by the PN is best? - ANSWER "I know these treatments must seem like torture to you, but we want to help you recover."
A female client tells the practical nurse (PN) that she wants to talk about some recent stresses. While sitting at a table talking to the PN, the client leans over, puts her head down, and states, "I feel like I'm having an anxiety attack." The client begins to hyperventilate. How should the PN respond? - ANSWER Reassure the client that she will be okay.
A 62-year-old man has been grieving about his daughter's death. A drunk driver killed her 6 months earlier. Which statement by the client would indicate to the nurse that he is improving? - ANSWER "I slept well last night."
The nurse notes that a client receiving phenytoin (Dilantin) daily has a serum phenytoin level of 14 mcg/mL. What intervention should the nurse implement? - ANSWER Make sure that the client is performing thorough oral care.
A male client on the mental health unit becomes very agitated and begins pulling pictures off the wall. The practical nurse (PN) asks for assistance to intervene and take the client to a quiet room away from other clients. What is the most important reason for removing the client to a quiet area away from others? - ANSWER Provide protection for the client and others in the milieu.
In evaluating a client's response to an antidepressant medication, which statement should the practical nurse (PN) expect to hear from a client who has been taking the medication for 10 days? - ANSWER I have been sleeping better for the past few days."
Several days after hospitalization, a client is repeatedly washing the top of the same table. Which intervention is best for the practical nurse (PN) to implement first to help the client cope with anxiety related to this behavior? - ANSWER Allow time for the ritualistic behavior, and then redirect the client to other activities.
The nurse working in the community health clinic is assessing risk factors that can decrease medication effectiveness for clients diagnosed with schizophrenia. Which client behavior is likely to decrease the effectiveness of psychotropic medications? - ANSWER Smokes at least 20 cigarettes daily [Show Less]