A nurse is caring for a client in an emergency department.

Exhibits

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress

Answer and Explanation

The Correct Answer is []

Based on the provided nurses' notes, the client exhibits symptoms that may suggest a brief psychotic disorder, characterized by delusions, hallucinations, disorganized speech, or grossly disorganized or catatonic behavior. The client's history of similar episodes and family history could support this diagnosis. To assess the client's progress, the nurse should monitor the client's ability to care for themselves and assess any suicide risk due to the client's recent stressors and emotional state. Actions that could be beneficial include reducing external stimuli to prevent sensory overload and engaging with the client several times each day to establish trust, which can help alleviate anxiety and foster a therapeutic environment.

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Correct Answer is ["C","D","F"]

Explanation

A. This statement is incorrect because tuberculosis treatment typically lasts longer than a week, and the client may remain contagious until the infectiousness subsides, which usually occurs after a few weeks of treatment.
B. TB treatment typically lasts for 6 months, not 6 weeks.

C. Rifampin, one of the medications for tuberculosis, can cause red-orange discoloration of body fluids (including tears, saliva, and urine), and can typically discolor contact lenses.
D. Directly observed therapy (DOT) is a recommended strategy for tuberculosis treatment to ensure medication adherence. Having someone observe the client taking their medication helps to confirm compliance and reduces the risk of non- adherence.
E. This statement is incorrect because alcohol consumption can interact with some tuberculosis medications, leading to potential liver toxicity or reducing the effectiveness of the drugs.
F. This statement demonstrates an understanding of the importance of informing the healthcare provider about any new medications. It's crucial to avoid potential interactions between tuberculosis medications and other drugs.
G. The Mantoux test is typically not repeated during tuberculosis treatment unless there is a specific clinical indication, such as an initial negative test with ongoing symptoms or exposure.

A. Monitor progress of task completion with each AP. B. Review the skill level and qualifications of each AP. C. Communicate appropriate tasks to the APs with specific expectations. D. Evaluate the APs' performance of each task

Correct Answer is B,C,A,D

Explanation

The nurse should first review the skill level and qualifications of each AP then communicate appropriate tasks to the APs with specific expectations, then monitor progress of task completion with each AP; and lastly evaluate the APs' performance of each task. This sequence ensures that tasks are delegated appropriately and that the APs' performance is monitored and evaluated.

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Naxlex Comprehensive Predictor Exams

The nurse is preparing the client for discharge. Exhibits Select the 3 client statements that indicate an understanding of the teaching.

Correct Answer is ["C","D","F"]

Explanation

A nurse has identified tasks to delegate to a group of assistive personnel (AP) after receiving change-of-shift report. Identify the sequence of steps the nurse should follow when delegating tasks to the APs. (Move the steps, placing them in the selected order of performance. Use all the steps.)

Correct Answer is B,C,A,D

Explanation

A nurse is caring for a client who presents to the emergency department. Exhibits A nurse is reviewing the client's record. Which of the following client findings indicate the need for further evaluation? Select all that apply.

A nurse on a medical-surgical unit is planning care for assigned clients. Which of the following actions should the nurse plan to take to demonstrate effective time management?

A nurse is developing a plan of care for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following actions should the nurse include in the plan?

A nurse is providing Information for a client who has a new prescription for simvastatin. For which of the following should the nurse Instruct the client to monitor and report to the provider?

A nurse is providing teaching to a parent of a child who has varicella. Which of the following statements should the nurse include in the teaching?

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A nurse is assessing a client who has histrionic personality disorder. Which of the following manifestations should the nurse expect?

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