What is Nurse John likely to note in a male client being admitted for alcohol
withdrawal?
A. Perceptual disorders
B. Impending coma
C. Recent alcohol intake
D. Depression with mutism
Option A: Frightening visual hallucinations are especially common in clients
experiencing alcohol withdrawal
June has agreed to take amitriptyline HCL (Elavil) for 3 days, but now
complains that it “doesn’t help” and refuses to take it. What should the nurse
say or do?
A. Withhold the drug
B. Record the client’s response
C. Encourage client to tell the physician
D. Suggest that it takes awhile before seeing the results.
Option D: The client needs a specific response; that it takes 2 to 3 weeks (a delayed
effect) until the therapeutic blood level is reached.
In preparing a female client for electroconvulsive therapy (ECT), Nurse
Michelle knows that succinylcholine (Anectine) will be administered for which
therapeutic effect?
A. Short acting anesthesia
B. Decreased oral and respiratory secretions
C. Skeletal muscle paralysis
D. Analgesia
Option C: Succinylcholine (Anectine)is a depolarizing muscle relaxant causing
paralysis. It is used to reduce the intensity of muscle contractions during the
convulsive stage, thereby reducing the risk of bone fractures or dislocation
Nurse Gina is aware that the dietary implications for a client in manic phase of
bipolar disorder is:
A. Serve the client a bowl of soup
B. Increase calories, decrease fat, and decrease carbohydrates
C. Give the client pieces of cut up steak, potatoes, peas
D. Increase calories, increase carbohydrates, and increase protein
Option D: This client needs increased protein for tissue building and increased
calories to replace what is burned up (usually via carbohydrates); preferable,
portable d/t acute mania sx
Potatoes- does not indicate if portable
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