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.

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Correct Answer is A

Explanation

Choice A rationale:

Magnesium sulfate is often used to suppress preterm labor by relaxing the uterine smooth muscle.

Choice B rationale:

Methylergonovine is used to prevent or control postpartum hemorrhage and is not typically used for preterm labor.

Choice C rationale:

Calcium gluconate is used to treat magnesium sulfate toxicity and is not typically used for preterm labor.

Choice D rationale:

Dinoprostone is used to ripen the cervix for labor induction, not to suppress preterm labor.

A. "I should shake the device if the medication appears brown." B. "I should not massage the injection area." C. "I will inject the medication in the top of my thigh." D. "I will refrigerate the injection device when I am at home."

Correct Answer is C

Explanation

Choice A rationale:

Shaking the auto-injector is not recommended as it could disrupt the medication's effectiveness. Epinephrine auto-injectors contain two separate components that need to be mixed upon injection.

Choice B rationale:

Massaging the injection site after using the auto-injector can actually help disperse the medication and promote absorption and reduce pain and swelling.

Choice C rationale:

Injecting the medication into the top of the thigh is the correct administration site and technique for an epinephrine auto-injector. It's a large muscle area that allows for rapid absorption.

Choice D rationale:

Epinephrine auto-injectors should not be refrigerated, as extreme temperatures can affect their functionality. The client should store the device at room temperature away from light and heat sources.

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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 is experiencing preterm labor. Which of the following medications should the nurse expect to administer?

Correct Answer is A

Explanation

A nurse is teaching a client who experiences anaphylaxis from bee stings about an epinephrine auto-injector. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is C

Explanation

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