Test Taking

a nurse is reinforcing teaching with an older adult client who has major depressive disorder and a prescription for nortriptylin 25 mg daily. Which of the following client statements indicates understanding of the teaching?

"I should sit on the side of the bed before standing up in the morning"

a nurse is providing teaching to the parents of an adolescent who has a depressive disorder and a new prescription for trazodone. Which of the following information should the nurse include in the teaching ? a. "Trazodone can cause suicidal thoughts in adolescents" b. "expect your child to lose weight while taking trazodone" c. "Your child's symptoms of depression should improve within one week." d. "Trazodone should be taken in the morning to prevent insomnia."

"Trazodone can cause suicidal thoughts in adolescents"

a nurse is caring for a client who has schizophrenia and is taking haloperidol The nurse should monitor for which of the following adverse effects of haloperidol? a. extrapyramidal symptoms b. Fever c. intractable hiccups d. excessive salivation

Extrapyramidal symptoms

a nurse is caring for a group of older adult clients. which of the following manifestations indicates one of the clients is experiencing delirium? a. a client ewants to know the current time while there is a clock on the wall b. a client attempts to climb out of bed and repeatedly states she must go home c. a client requests extra blankets when the thermostat in the room is 78

a client attempts to climb out of bed and repeatedly states she must get home

a nurse is planning to administer haloperidol to a client who has acute psychosis. The nurse should monitor the client for which of the following findings as an adverse effect of the medication?

dystonia- the nurse should monitor the client for dystonia after administering Haloperidol. Dystonia is a repetitive muscular contraction that may cause twisting of the body.

a community health nurse is providing teaching to the family of a client who has primary dementia. Which of the following manifestations should the nurse tell the family to expect? a. decreased auditory and visual acuity b. decreased display of emotions c. personality traits that are opposite of original traits d. forgetfulness gradually progressing to disorientation

forgetfulness gradually progressing to disorientation

A nurse is caring for an older adult client who has dementia and handles anxiety by confabulating. The nurse should recognize confabulation when the client: a. displays compulsive and ritualistic behaviors b. reminisces about the past c. makes up stories when he is unable to remember actual events d. refuses to leave home to see a provider

makes up stories when he is unable to remember actual events

a nurse is planning to administer olanzapine 10mg IM to a client who has schizophrenia. Which of the following actions should the nurse take?

monitor the client for at least 3 hr after the injection

a nurse is caring for a client who has a serum lithium level of 2.0mEq/L. which of the following is the priority action for the nurse to take?

notify the primary provider the result indicates toxicity.

a nurse is caring for a client who has dementia. the client is agitated and is having difficulty staying in his chair. Which of the following actions should the nurse take first? a. apply a vest restraint on the client b. place the client in bed with two side rails raised c. place a seat alarm in the clients chair d. administer lorazepam the client

place a seat alarm in the client chair

a nurse is caring for a client who has generalized anxiety disorder and is taking buspirone. Which of the following adverse effects should the nurse report to the provider? a. sweating b. decreased appetite c. discolored urine d. hallucinations

sweating

a nurse is caring for a client who has schizophrenia and generalized anxiety disorder. The client has a prescription for alprazolam 0.25mg PO every 8 hr PRN anxiety. For which of the following client statements should the nurse consider administering alprazolam?

the client states, "My heart is pounding out of my chest"