A nurse on a mental health unit is caring for four clients. Which of the following clients should the nurse see first?
A client who has schizophrenia and exhibits apathy
A client who has an anxiety disorder and appears restless
A client who has major depressive disorder and reports hopelessness
A client who has bipolar disorder and exhibits provocative behavior
The Correct Answer is C
A. A client with schizophrenia exhibiting apathy may require attention, but it may not be an immediate priority unless there are signs of deterioration or safety concerns.
B. A client with an anxiety disorder appearing restless may be experiencing distress, but it is not necessarily indicative of an immediate safety or crisis situation.
C. A client with major depressive disorder reporting hopelessness raises significant concern, as it may indicate an increased risk of self-harm or suicide. Clients expressing hopelessness should be assessed promptly to determine the level of risk and implement appropriate interventions.
D. A client with bipolar disorder exhibiting provocative behavior may pose a potential risk, but the level of urgency is typically higher for a client expressing hopelessness and depressive
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This client has undergone a paracentesis for ascites, and since it was done 4 hours ago, they are likely stable and can be considered for discharge.
The client who is 6 hours postoperative following a hip arthroplasty may still require close monitoring and postoperative care. Discharging a postoperative client too early could lead to complications.
The client with a blood glucose level of 380 mg/dL receiving insulin via IV infusion requires ongoing monitoring and management of their diabetes. Discharging this client during an external disaster may not be appropriate due to the need for continued medical intervention.
The client with pneumonia receiving 100% oxygen via a nonrebreather mask likely requires continued medical attention and monitoring. Discharging a client with pneumonia who requires high-flow oxygen can pose risks to their respiratory status.
Correct Answer is ["125"]
Explanation
To calculate the IV pump rate (mL/hr), you can use the following formula:
Rate (mL/hr) = Total Volume (mL)/Total Time (hr)
In this case:
Rate=500 mL/4 hr
Rate=125mL/hr
Therefore, the nurse should set the IV pump to deliver 125 mL/hr for the lactated Ringer's IV infusion over 4 hours, rounded to the nearest whole number.
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