A nurse is caring for a client in an emergency department.
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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Potatoes do not contain significant levels of tyramine and are generally safe to consume with MAOIs.
B. Grapefruit does not contain significant levels of tyramine and are generally safe to consume with MAOIs.
C. Eggs do not contain significant levels of tyramine and are generally safe to consume with MAOIs.
D. MAOIs (Monoamine Oxidase Inhibitors) require dietary restrictions to avoid tyramine, which is found in high levels in aged cheeses. High tyramine intake while on MAOIs can lead to hypertensive crises.
Correct Answer is C
Explanation
A. Petroleum jelly is a petroleum-based product and can be a fire hazard when used with oxygen therapy. Water-based lubricants are recommended instead.
B. Alcohol is flammable, so it's better to avoid alcohol-based cleaners near oxygen therapy equipment.
C. Nail polish remover typically contains acetone, which is highly flammable. Since oxygen therapy increases the risk of fires, it is essential to avoid flammable substances around the client.
D. Synthetic fabrics can generate static electricity and should be avoided around oxygen. Cotton is preferable because it is less likely to produce static.
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