A client is admitted for a drug overdose with a barbiturate. Which is the priority nursing action when planning care for this client?

Check the client's belongings for additional drugs.

Pad the side rails of the bed because seizures are likely.

Prepare a dose of ipecac, an emetic.

Monitor respiratory function.

Answer and Explanation

The Correct Answer is D

D. Barbiturates can cause respiratory depression, hypoventilation, and potentially respiratory arrest, which can lead to hypoxia and cardiac arrest if not promptly recognized and managed.

A. While it's important to assess for any additional drugs or substances that the client may have ingested, this action is not the priority when managing a client with a barbiturate overdose.

B. Seizures can occur as a result of barbiturate overdose, but respiratory depression is the more immediate and life-threatening concern.

C. Ipecac is no longer recommended for the induction of vomiting in cases of drug overdose due to the risk of complications such as aspiration pneumonia and delayed treatment.

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Correct Answer is B

Explanation

B. Understanding the precipitating factors is essential for developing effective treatment strategies tailored to the individual's specific needs. By identifying triggers, the nurse can work with the client to develop coping mechanisms and interventions to manage these triggers and reduce the frequency or intensity of obsessive-compulsive symptoms.

A. Providing a structured activity schedule can be helpful for individuals with OCD as it can promote a sense of routine and predictability. However, while structuring activities is beneficial, it may not address the immediate needs of the client upon admission.

C. Teaching relaxation techniques, such as deep breathing exercises, progressive muscle relaxation, or guided imagery, can be beneficial for managing anxiety and stress associated with OCD symptoms. However, like option A, while relaxation techniques are important, they may not address the immediate needs of the client upon admission.

D. Exploring alternative coping strategies with the client involves brainstorming and discussing various techniques or approaches to managing obsessive-compulsive symptoms. However, identification of triggers is a priority.

A. Involuntary pelvic rocking and hip thrusting movements B. Facial grimacing and eye blinking C. Tongue thrusting and lip smacking D. Fine hand tremors and pill rolling E. Urinary retention and constipation

Correct Answer is ["A","B","C"]

Explanation

A. Tardive dyskinesia can involve abnormal, involuntary movements of the hips, pelvis, and trunk.
B. Facial grimacing and eye blinking are common manifestations of tardive dyskinesia. These movements involve involuntary contractions of facial muscles, leading to facial distortions and repetitive blinking.
C. Tongue thrusting and lip smacking are classic signs of tardive dyskinesia. These movements involve involuntary protrusion of the tongue and repetitive puckering or smacking of the lips.

D. Fine hand tremors and pill rolling movements are more commonly associated with other movement disorders, such as Parkinsonism, which can also be caused by certain antipsychotic medications but are distinct from tardive dyskinesia.
E. Urinary retention and constipation are not typical symptoms of tardive dyskinesia. These symptoms may occur due to other factors, such as anticholinergic effects of medications or medical conditions unrelated to tardive dyskinesia.

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A client is admitted for a drug overdose with a barbiturate. Which is the priority nursing action when planning care for this client?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a newly admitted client who has obsessive-compulsive disorder (OCD). Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? (Select all that apply)

Correct Answer is ["A","B","C"]

Explanation

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