The nursing assistant tells Nurse Diana that the client is not in the dining room for lunch. Nurse Ronald would direct the nursing assistant to do which of the following?
The nurse instructs the nursing assistant to invite the client to lunch & accompany him to the dinning room to decrease manipulation, secondary gain, dependency and reinforcement of negative behavior while maintaining the client’s worth.
John who has a chronic user of cocaine reports that he feels like he has cockroaches crawling under his skin. His arms are red because of scratching. The nurse in charge interprets these findings as possibly indicating which of the following?
The feeling of bugs crawling under the skin is termed as formication and is associated with cocaine use.
Jerry is diagnosed with amphetamine psychosis and was admitted in the emergency room. Nurse Owusu would most likely prepare to administer which of the following medication?
The nurse would prepare to administer an antipsychotic medication such as Haldol to a client experiencing amphetamine psychosis to decrease agitation & psychotic symptoms, including delusions, hallucinations & cognitive impairment
Which of the following assessment would provide the best information about the client’s physiologic response and the effectiveness of the medication prescribed specifically for alcohol withdrawal?
Monitoring of vital signs provides the best information about the client’s overall physiologic status during alcohol withdrawal & the physiologic response to the medication used.
A female client is brought by ambulance to the hospital emergency room after taking an overdose of barbiturates is comatose. Nurse Emma would be especially alert for which of the following?
Barbiturates are CNS depressants; the nurse would be especially alert for the possibility of respiratory failure. Respiratory failure is the most likely cause of death from barbiturate overdose.
Which of the following liquids would Nurse Linda administer to a female client who is intoxicated with phencyclidine (PCP) to hasten excretion of the chemical?
An acid environment aids in the excretion of PCP. The nurse will definitely give the client with PCP intoxication cranberry juice to acidify the urine to a ph of 5.5 & accelerate excretion.
The initial nursing intervention for the significant others during shock phase of a grief reaction should be focused on:
This provides support until the individual's coping mechanisms and personal support systems can be immobilized.
Which of the following would Nurse Rita use as the best measure to determine a client’s progress in rehabilitation?
The best measure to determine a client’s progress in rehabilitation is the number of drug- free days he has. The longer the client is free of drugs, the better the prognosis is.
After administering naloxone (Narcan), an opioid antagonist, Nurse Rita should monitor the female client carefully for which of the following?
After administering naloxone (Narcan) the nurse should monitor the client’s respiratory status carefully, because the drug is short acting & respiratory depression may recur after its effects wear off.
When developing a plan of care for a female client with acute stress disorder who lost her sister in a car accident. Which of the following would the nurse expect to initiate?
1. The nurse would facilitate progressive review of the accident and its consequence to help the client integrate feelings & memories and to begin the grieving process.
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