Stunnerwin

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 memory, I shoul...

1. A nurse is caring for a client who is taking phenytoin. For which of the following adverse effects should the nurse monitor and report to the provider? a. Cognitive impairment i. Phenytoin: Anticonvulsant, Antiarrhythmic. Adverse effects: suicidal thoughts, ataxia, agitation, confusion, dizziness, drowsiness, dysarthria. (davis drug guide). b. Tachycardia c. Elevated Blood Pressure d. Tinnitus 2. A nurse is teaching a client who has a history of acute myocardial infarction about...

Questions 1 When performing a visual acuity test, the nurse practitioner notes 20/30 in the left eye and 20/60 in the right eye. The next step is to A- Have the patient return in 2 weeks for a follow-up vision screen B- Dilate the eyes and retest C- Refer the patient to an ophthalmologist D- Document this as a normal finding. Question 2 The American Psychiatric Association’s Diagnostic and Statistical Manual Disorder fifth edition (DMS-5) describes Munchausen Syndrome by proxy as A- A...

#1: Contraception & Infertility  Diaphragms: client must be refitted for a diaphragm for the following conditions: 1. It’s been 2 years since she has been fitted 2. Gained more than 15 pounds (7kg) 3. Had a full-term pregnancy 4. Had a second term abortion o When you use a diaphragm, you need to use spermicide with every act of coitus (withdrawal of penis from vagina prior to ejaculation). Every time you withdrawal, instill more spermicide. o Diaphragm must stay inserted for 6hrs after ac...

A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the following instructions should the nurse include in the teaching? 1) Take temperature once a day. 2) Wash the armpits and genitals with a gentle cleanser daily. 3) Change the litter boxes while wearing gloves. 4) Wash dishes in warm water. 2. A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacious secretions. Which of the following is an accep...

ing care/Intervention: 1. Priority-remove child from abusive situation 2. Conduct interview with child and parents individually 3. Mandatory reporting required for suspicion of abuse! Reinforcing about car seat -pg. 17 a. Rear-facing until 2 years old, in the backseat use lower anchors and tethers to secure seat. -If available. b. Position car seat at 45-degree angle. Position harness at or just below infant’s shoulders. LevelupRN: Car seat types: Adhere to height and weight limits...

1. A nurse in an oncology clinic is assessing a client who has early stage Hodgkin's lymphoma. Which of the following findings should the nurse suspect? Oncology A. Bone and joint pain B. Enlarged lymph nodes C. Intermittent hematuria D. Productive cough 2. A nurse in the emergency department is caring for a client who has a snakebite on her arm. Which of the following interventions should the nurse implement? Dermatology A. Immobilize the limb at the level of the heart B. Apply a tour...

1. A Nurse is caring for a school-aged child who has conduct disorder and is being physically aggressive toward other children in the unit. Which of the following actions should the nurse take first? a. Place the child in seclusion b. Use therapeutic hold technique c. Apply wrist restraints d. Administer risperidone 2. A nurse is caring for a client who has a new diagnosis of bulimia nervosa. Which of the following diagnosis procedures should the nurse anticipate the provider should...

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 memory, I should...

ATI Mental Health Proctored A Exam 1. A nurse is planning overall strategies to address problems for a client who has borderline personality disorder. Which of the following strategies is the priority for the nurse to incorporate in th e plan of care? a. discuss the appropriate use of assertive behavior with the client b. encourage the client to attend weekly support group meetings c. assist the client to maintain awareness of her thoughts and feelings d. implement measures to prevent intent...