A 70yearold client is admitted to the locked psychiatric unit, diagnosed with delirium. Later in the day, he tries to get out of the locked unit several times. He yells, "I have to leave and get to my barber. I see him every Wednesday. Let me out!"

Which of the following would be the most therapeutic response by the nurse?

"You need to come and take a shower before you can go get your hair cut."

"Please stop banging on the door. Your room is right over there."

"The door is locked so that you don't leave and get hurt."

"You are in the hospital, and I'm your nurse."

Answer and Explanation

The Correct Answer is C

A.   This response does not directly address the client's concern and may be perceived as dismissive.
B.   This response does not provide a clear explanation for the locked door and may not effectively address the client's agitation.
C.   This response provides a clear and honest explanation for the locked door, ensuring the client's safety, which is the priority.
D.   This response acknowledges the situation but does not provide a clear explanation for the locked door.

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Correct Answer is ["10"]

Explanation

Dose (mL) = Desired dose (mg) / Available dose (mg/mL) Plugging in the values from the question, we get:
Dose (mL) = 80 mg / (40 mg / 5 mL) Simplifying the fraction, we get:
Dose (mL) = 80 mg / 8 mg/mL Dividing both sides by 8, we get:
Dose (mL) = 10 mL
Therefore, the nurse should administer 10 mL of fluoxetine per dose.

A. Increase your fluid and fiber intake to prevent constipation. B. Have your blood pressure checked frequently for hypertension. C. Expect to have your blood checked weekly for serum electrolyte imbalances. D. Increase caloric intake to prevent weight loss.

Correct Answer is B

Explanation

A) Incorrect. While maintaining proper nutrition is important, this statement is not directly related to the use of risperidone.

B) Correct. Risperidone, an atypical antipsychotic, can be associated with metabolic side effects, including hypertension. Therefore, monitoring blood pressure is important.

C) Incorrect. While regular monitoring of blood parameters may be necessary for some medications, it is not a specific requirement for risperidone.

D) Incorrect. While weight changes can occur with risperidone, there is no specific indication to increase caloric intake in this context.

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer fluoxetine 80 mg PO daily. Available is fluoxetine 40 mg/5mL. How many mL should the nurse administer per dose? (Write the number only, do not include the label. Record the answer to the nearest whole number. Do not use a trailing zero)

Correct Answer is ["10"]

Explanation

A nurse is providing teaching for a client who has schizophrenia and a new prescription for risperidone. Which of the following statements should the nurse include in the teaching?

Correct Answer is B

Explanation

The mother of a 20yearold woman recently diagnosed with paranoid schizophrenia asks the nurse what causes schizophrenia. The nurse recognizes which of the following are implicated in the etiology of schizophrenia?

A client diagnosed with bipolar I disorder is in a manic state, rushing about the unit, and talking regularly with a flight of ideas. What is the most therapeutic intervention?

A newly admitted client diagnosed with paranoid schizophrenia is super vigilant and constantly scans the environment. The client states, "I saw doctors talking in the hall. They were plotting to kill me." Which of the following does the nurse correctly identify as this behavior?

A client with chronic alcoholism has been found to have Wernicke encephalopathy. What is this irreversible complication characterized by?

A client has been diagnosed with major depression and placed on amitriptyline. Which is a side effect of amitriptyline?

What intervention is a priority when the client is experiencing auditory hallucinations?

The nurse is caring for a client who is withdrawing from long-term use of opioids. The nurse will monitor using a Clinical Opioid Withdrawal Scale (COWS). Which of the following cluster of symptoms would indicate to the nurse the client was withdrawing from opioids?

What are the possible physiological changes in the brain of a client diagnosed with Alzheimer's disease? (Select all that apply)