A nurse on a mental health unit is caring for a client.
Nurses' Notes
Day 1, 1300:
Client admitted following a suicide attempt. Client's family reports client has not left bedroom in 1 week. Client previously. diagnosed with bipolar disorder.
Client reports feeling excessively tired and light-headed. Allergies: Client's family reports allergy to SSRIS (angioedema) and penicillin (anaphylaxis).
1600:
Client has been sleeping in their room since admission. Flat affect noted.
For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.
Low-sodium diet
Potassium 40 mEq PO daily
Initiate suicide precautions
Fluoxetine 20 mg PO daily
The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"}}
A. Low-sodium diet Contraindicated: A low-sodium diet can decrease lithium elimination, leading to increased lithium levels and risk of toxicity in lithium users. B. Potassium 40 mEq PO daily Anticipated: Potassium supplementation may be needed to prevent hypokalemia, which can occur due to lithium-induced polyuria or diuretic use. C. Initiate suicide precautions Anticipated: Suicide precautions are essential for any client who has attempted or expressed suicidal ideation, especially during the depressive phase of bipolar disorder. D. Fluoxetine 20 mg PO daily Contraindicated: Fluoxetine is an SSRI antidepressant, which can cause angioedema in clients who are allergic to SSRIs. Additionally, fluoxetine can trigger manic episodes or increase suicidal risk in clients with bipolar disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A is incorrect because it is an example of self-disclosure, not altruism. Self-disclosure is sharing personal information or feelings with others.
B is incorrect because it is an example of jealousy, not altruism. Jealousy is feeling threatened or resentful by someone else's success or happiness.
C is correct because it is an example of altruism, which is helping others without expecting anything in return. Altruism can enhance self-esteem and coping skills for clients who have breast cancer.
D is incorrect because it is an example of trust, not altruism. Trust is believing that someone is reliable and honest.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Explanation
The client is at risk for experiencing electrolyte imbalance due to the vomiting. Persistent vomiting during pregnancy, especially with significant weight loss, can lead to electrolyte imbalances such as hypokalemia, hyponatremia, or metabolic alkalosis. This can result from the body's inability to retain essential minerals and fluids. The client’s reported diet of minimal food intake, primarily consisting of toast and pretzels, indicates inadequate nutrition and potential for further exacerbation of these imbalances.
The significant weight loss of 6.8 kg (15 lb) within a month and continuous nausea and vomiting are concerning symptoms that warrant immediate medical evaluation. The nurse’s advice to seek a provider’s assessment underscores the need for timely intervention to address potential complications, ensure maternal and fetal health, and possibly prescribe antiemetic medications or other treatments to manage symptoms.
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