A newly admitted patient in an acute manic state has a nursing diagnosis of at risk for injury related to hyperactivity. Which nursing intervention is most appropriate?

Have the patient sit in his room while you review all the rules of the unit.

Reinforce previously learned coping mechanisms to calm the patient down.

Place the patient in a room with another hyperactive patient.

Administer antipsychotic medication as ordered and as needed by the physician.

Answer and Explanation

The Correct Answer is D

Choice A reason: Having the patient sit alone while reviewing rules does not address the immediate risk of injury due to hyperactivity.

Choice B reason: Reinforcing coping mechanisms can help the patient manage hyperactivity and reduce the risk of injury.

Choice C reason: Placing the patient with another hyperactive patient could potentially exacerbate the situation and increase the risk of injury.

Choice D reason: While administering medication may be necessary, it should be done in conjunction with other interventions that address behavior management.

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Correct Answer is C

Explanation

Choice A Reason:Thrombolytic agents (clot-dissolving drugs) are indeed used to dissolve blood clots that block coronary artery flow during a heart attack. These medications help restore blood flow and prevent further damage to the heart muscle.

Choice B Reason:Bedrest is commonly recommended after a myocardial infarction (heart attack) to reduce the workload on the heart. It allows the heart to heal and minimizes strain during the recovery phase.

Choice C Reason:Timely diagnosis of myocardial infarction is crucial because early intervention can significantly impact the extent of muscle damage. Rapid treatment helps preserve heart tissue and prevent complications.

Choice D Reason:Percutaneous coronary intervention (PCI) involves using a stent to reopen a blocked coronary artery. This procedure restores blood flow and improves outcomes for patients with myocardial infarction.

A. Spaghetti B. Soup C. Peanut butter sandwich D. Oatmeal

Correct Answer is D

Explanation

Choice A reason: Spaghetti, while a source of carbohydrates, may not be the best option for someone experiencing acute mania who might benefit from simpler, less stimulating foods.

Choice B reason: Soup can be a good choice but may not provide the necessary energy and nutrient density needed for someone in a manic state.

Choice C reason: A peanut butter sandwich could be a good option, but it might be too complex for a client to focus on eating during a manic episode.

Choice D reason: Oatmeal is an excellent choice as it is a whole grain that can have a calming effect on the mind and is easy to consume.

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A newly admitted patient in an acute manic state has a nursing diagnosis of at risk for injury related to hyperactivity. Which nursing intervention is most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which statement regarding the treatment of a myocardial infarction is incorrect?

Correct Answer is C

Explanation

A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. Which of the following is an appropriate food choice for this client?

Correct Answer is D

Explanation

A patient asks the nurse what a diagnosis of heart failure means. Which of the following is the nurse's best response?

Your patient has a diagnosis of major depressive disorder and has been started on sertraline (Zoloft) 50mg daily. After taking the medication for 3 days, the patient says, "I don't think the medicine is working. I don't want to take it any longer." What is your best response?

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The nurse is caring for a group of patients. Which patient is at the highest risk for developing heart failure (HF)?

Which statement made by a patient indicates a possible exacerbation of heart failure (HF)?

The patient is being discharged on furosemide (Lasix). The nurse evaluates the patient as understanding medication teaching if the patient states that which of the following laboratory tests will be monitored as ordered?

The nurse reinforces teaching to the patient on left heart failure (HF). The nurse would evaluate the patient as understanding if the patient stated which of these occurs to blood flow through the heart?