A 28-year old male admitted with catatonic schizophrenia has been mute and motionless for several days while at home prior to admission. He still appears stuporous in the hospital. Which nursing intervention would be an initial priority?
Orienting the client to the unit
Reinforcing reality with the client
Establishing a nonthreatening relationship
Assessing the client for physical problems
The Correct Answer is D
A. Orienting the client to the unit While orientation is important, the client's prolonged
immobility and stupor necessitate a physical assessment first to ensure there are no underlying medical issues contributing to this state.
B. Reinforcing reality with the client The client's catatonic state may make it difficult to effectively communicate or engage in reality orientation at this point. Addressing potential physical issues is the initial priority.
C. Establishing a nonthreatening relationship Building a therapeutic relationship is crucial, but given the client's current state, assessing for physical problems takes precedence.
D. Assessing the client for physical problems The client's prolonged catatonic state requires an
immediate physical assessment to rule out any underlying medical conditions contributing to his condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. 24 hours is a long time for alcohol withdrawal symptoms to occur.
B. Alcohol withdrawal symptoms typically begin within 6 to 8 hours after the last drink for
individuals with a history of heavy alcohol use. These symptoms can range from mild anxiety and tremors to more severe symptoms like seizures and delirium tremens. It's crucial for
healthcare providers to monitor and manage alcohol withdrawal symptoms, as they can be life- threatening in severe cases.
C. Alcohol withdrawal symptoms occur within 6 to 8 hours, not 18 hours.
D. Alcohol withdrawal symptoms occur within 6 to 8 hours, not 72 hours.
Correct Answer is B
Explanation
A) Incorrect. While monitoring sodium levels can be important for clients on certain
medications, it is not a primary concern with lamotrigine. The main concern is the potential for a serious rash.
B) Correct. Lamotrigine is associated with a risk of a severe skin reaction called Stevens Johnson syndrome. If a client experiences any rash while taking lamotrigine, it is crucial to notify a
healthcare provider immediately.
C) Incorrect. While monitoring weight and potential changes in appetite are important aspects of overall health, it is not a specific teaching point for lamotrigine.
D) Incorrect. While it is important for individuals of childbearing age to discuss pregnancy plans and contraceptive methods with their healthcare provider, it is not the primary teaching point specific to lamotrigine.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.