Unit 10 - Caring for Children and Young People

ATI Mental Health A 2019 A nurse is teaching a client who has schizophrenia about her new prescription for risperidone. Which of the following statements should the nurse include in the teaching? a) "You should continue this medication if you develop muscle rigidity". b) "You will experience weight loss while taking this medication." c) "You will notice your symptoms improve within 24 hours of taking this medication." d) "You should increase your consumption of compl...

TEST A nurse is caring for a client who is taking lithium and reports persistent nausea and vomiting for 2 days. Which of the following laboratory values should the nurse report to the provider? a) Potassium 4.0 mEq/L b) Lithium 0.9 mEq/L c) BUN 12 mg/dL d) Sodium 132 mEq/L - D. Sodium 132 mEq/L Rationale: The nurse should identify that a sodium level of 132 mEq/L is not within the expected reference range of 136 to 145 mEq/L. This finding indicates hyponatremia, which can lead to lit...

1. A nurse is caring for a client who has BMI of 29 and expresses a desire to lose weight. Which of the following actions should the nurse take first? A. Refer the client to a nutritionist B. Discuss eating strategies with the client C. Determine the client's intention to change current eating habits D. Instruct the client to perform 30 min of vigorous exercise daily C 2. A nurse is completing dietary teaching with a client who has heart failure and is prescribed a 2g sodium diet. ...

A charge nurse is discussing mental status exams with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all that apply). A. "To assess cognitive ability, I should ask the client to count backward by sevens." B. "To assess affect, I should observe the client's facial expression. C. "To assess language ability, I should instruct the client to write a sentence." D. "To assess remote m...

ATI Mental Health 1. A nurse in a community health center is working with a group of clients who have post- traumatic stress disorder. Which of the following interventions should the nurse include to reduce anxiety among the group members? - Response prevention - Guided imagery * - Aversion therapy - Light therapy 2. A client who has a recent diagnosis of bipolar disorder is placed in a room with a client who has severe depression. The client who has depression reports to the nurse, ...

The nurse is caring for four clients on a medical-surgical unit. Which client should the nurse see initially? 1. A client admitted with hepatitis A who has had severe diarrhea for the last 24 hours 2. A client admitted with pneumonia who is has small amounts of yellow productive sputum 3. A client admitted with fever of unknown origin (FUO) who has been without fever for the last 48 hours 4. A client admitted with a wound infection whose WBC is 8,500 mm3 - Answer: 1 Rationale: The nurs...

A nurse has just received change-of-shift report on four clients. Which of the following clients should the nurse assess first? A client who is postoperative with abdominal distention and no bowel sounds A client who has diabetes mellitus and a blood glucose level of 105 mg/dL A client who has heart failure and 2+ pitting edema A client who is receiving maintenance IV fluids and needs a new IV catheter - A client who is postoperative with abdominal distention and no bowel sounds Using the...

A nurse has just received change-of-shift report on four clients. Which of the following clients should the nurse assess first? A client who is postoperative with abdominal distention and no bowel sounds A client who has diabetes mellitus and a blood glucose level of 105 mg/dL A client who has heart failure and 2+ pitting edema A client who is receiving maintenance IV fluids and needs a new IV catheter - A client who is postoperative with abdominal distention and no bowel sounds Using the...

A nurse has just received change-of-shift report on four clients. Which of the following clients should the nurse assess first? A client who is postoperative with abdominal distention and no bowel sounds A client who has diabetes mellitus and a blood glucose level of 105 mg/dL A client who has heart failure and 2+ pitting edema A client who is receiving maintenance IV fluids and needs a new IV catheter - A client who is postoperative with abdominal distention and no bowel sounds Using the a...

A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin elixir. Which observation by the nurse warrants immediate intervention? Apical heart rate of 60. Sweating across the forehead. Doesn't suck well. Respiratory rate of 30 breaths per minute. - Apical heart rate of 60. A heart rate of 60 (A) is much lower than normal for a 6-month-old and warrants immediate intervention. The normal heart rate for a 6-month-old is 80 to 150 BPM when awake, and a rate of 70 while sleepi...