A nurse is collecting data from a client who has recently stopped smoking.
Which of the following findings should the nurse recognize as a manifestation of acute nicotine withdrawal?

Tachycardia.

Nervousness.

Weight loss.

Vomiting.

Answer and Explanation

The Correct Answer is B

It occurs because nicotine stimulates the release of dopamine, a neurotransmitter that regulates mood and pleasure. When nicotine intake is stopped, dopamine levels drop and cause anxiety and irritability.

Choice A is wrong because tachycardia, or rapid heart rate, is not a symptom of nicotine withdrawal. In fact, smoking can increase blood pressure and heart rate, so quitting smoking may lower them.

Choice C is wrong because weight loss is not a symptom of nicotine withdrawal. On the contrary, weight gain is more likely to occur after quitting smoking, because nicotine suppresses appetite and increases metabolism.

Choice D is wrong because vomiting is not a symptom of nicotine withdrawal. Vomiting may be a side effect of some nicotine replacement therapies, such as patches or gum, but it is not caused by the lack of nicotine itself.

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Correct Answer is D

Explanation

The nurse should offer the client a milkshake because it is a high-calorie, high- protein, and easy-to-consume food that can meet the nutritional needs of a client who is in the manic phase of bipolar disorder. Clients who are manic often have increased activity, decreased appetite, and poor attention span, which can lead to weight loss and malnutrition.

Choice A is wrong because Creamed corn is wrong because it is a low-protein, high-carbohydrate food that can increase blood glucose levels and cause mood swings.

Choice B is wrong because Mashed potatoes is wrong because it is a low-protein, high-starch food that can also affect blood glucose levels and mood stability.

Choice C is wrong because Spaghetti with meat sauce is wrong because it is a complex food that requires utensils and attention to eat, which can be difficult for a client who is manic and distractible.

Normal ranges for potassium are 3.5 to 5.0 mEq/L.

A. Nitroglycerin transdermal was applied to a client’s chest. B. Cefotaxime was administered to a client after obtaining blood cultures. C. Digoxin was administered to a client who has a heart rate of 64/min. D. Insulin lispro was administered to a client immediately before bed.

Correct Answer is D

Explanation

Insulin lispro was administered to a client immediately before bed. This is a situation that requires the completion of an incident report because insulin lispro is a rapid-acting insulin that should be given within 15 minutes before or after a meal. Giving it immediately before bed can cause hypoglycemia (low blood sugar) during the night, which can be dangerous for the client.

Choice A is wrong because nitroglycerin transdermal is a medication used to prevent angina (chest pain) and can be applied to a client’s chest as prescribed.

Choice B is wrong because cefotaxime is an antibiotic that can be administered to a client after obtaining blood cultures to treat an infection.

Choice C is wrong because digoxin is a medication used to treat heart failure and atrial fibrillation and can be administered to a client who has a heart rate of 64/min, which is within the normal range of 60 to 100 beats per minute.

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A nurse is collecting data from a client who has recently stopped smoking. Which of the following findings should the nurse recognize as a manifestation of acute nicotine withdrawal?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is selecting foods for a client who is in the manic phase of bipolar disorder. Which of the following foods should the nurse offer the client?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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A nurse is collecting data from a client who has recently stopped smoking.
Which of the following findings should the nurse recognize as a manifestation of acute nicotine withdrawal?