A nurse is caring for a newly admitted client who has schizophrenia. Which of the following actions is the nurse's priority?

Determine if the client is experiencing command hallucinations.

Arrange for the client to have consistent staff assignments.

Administer lorazepam to the client.

Use the client's name when talking to him.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Assessing for the presence of command hallucinations is a priority, as they can pose a risk to the client's safety and the safety of others.

Choice B rationale:

Consistent staff assignments can be important for clients with schizophrenia, but immediate safety concerns should take precedence.

Choice C rationale:

Administering medication is not the priority action unless there is a specific reason to do so based on the assessment.

Choice D rationale:

Using the client's name is respectful and helpful, but it is not the priority action in this scenario.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","B","D","E"]

Explanation

A. Providing rest breaks between nursing care activities is essential to prevent fatigue and allow for recovery, as stroke patients often have reduced endurance and energy.

B. Notifying the provider of a systolic blood pressure higher than 180 mm Hg is crucial because hypertension can exacerbate brain injury following a stroke and increase the risk of hemorrhagic transformation.

C. Administering aspirin 650 mg every 6 hours for a headache is not recommended without a physician's order, especially post-stroke, as it can increase the risk of bleeding.

D. Keeping the client's head in a midline neutral position helps to promote venous drainage and decrease intracranial pressure, which is beneficial in the management of a stroke patient.

E. Monitoring the client's vital signs every 4 hours is important for detecting any changes in the patient's condition that may indicate complications or the need for medical intervention.

A. Sparse eyelashes B. Reports cracked skin on feet C. Reports persistent neck pain D. Hyperflexibility

Correct Answer is C

Explanation

Choice A rationale:

Sparse eyelashes are a common physical characteristic of individuals with Down syndrome and do not typically require immediate notification of the provider.

Choice B rationale:

Cracked skin on feet is not uncommon, and while it may need attention, it does not generally require immediate notification of the provider.

Choice C rationale:

Persistent neck pain in a child with Down syndrome could indicate an underlying issue and should be reported for further evaluation.

Choice D rationale:

Hyperflexibility is a common feature of Down syndrome and does not typically require immediate notification of the provider.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a newly admitted client who has schizophrenia. Which of the following actions is the nurse's priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who was admitted following an ischemic stroke. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

A nurse is assessing a school-age child who has Down syndrome. For which of the following findings should the nurse notify the provider?

Correct Answer is C

Explanation

A nurse is assessing a client who has delirium. Which of the following manifestations should the nurse expect? (Select all that apply.)

A nurse is preparing an educational program about sexual assault for a group of college students. Which of the following information should the nurse include?

A nurse is planning teaching for a client following a total abdominal hysterectomy.Which of the following expected manifestations should the nurse include in the teaching?

A nurse is teaching a client who has a new diagnosis of diverticulitis. Which of the following instructions should the nurse include in the teaching?

A nurse is assessing a client who has sickle cell anemia. Which of the following findings is the priority for the nurse to report?

A nurse is providing teaching about home care to the family of a client who has dementia. Which of the following statements should the nurse make?

A nurse in an emergency department is assessing a client who has experienced a right hemispheric stroke. Which of the following findings should the nurse expect?

A nurse is caring for a client who is receiving mechanical ventilation following a stroke. Which of the following actions should the nurse take?