A physician mentions to a nurse that a newly admitted client is impulsive. The nurse should assess for behavior characterized by:

postponing gratification to an appropriate time.

little time elapsed between thought and action.

adherence to a strict moral code.

manipulative, controlling strategies.

Answer and Explanation

The Correct Answer is B

B. Impulsive individuals tend to act quickly without fully considering the consequences of their actions. There is often little to no delay between the thought or impulse and the resulting behavior.
A. Individuals who are impulsive tend to have difficulty delaying gratification and may act on immediate impulses without considering long-term consequences.
C. Impulsivity is not necessarily related to moral behavior. While impulsive individuals may sometimes engage in behaviors that conflict with their moral code, impulsivity itself does not indicate adherence or lack thereof to a moral code.
D. Impulsivity is more about acting quickly without forethought rather than deliberately manipulating or controlling situations.

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Correct Answer is B

Explanation

B. Airborne precautions are used for diseases that can be transmitted through tiny respiratory droplets that remain in the air for extended periods. Examples include tuberculosis and measles. Given the symptom of coughing up blood and the possibility of an infectious respiratory disease, initiating airborne precautions could be warranted.
A. Droplet precautions are typically implemented for diseases that spread through respiratory droplets, such as influenza or pertussis. However, coughing up blood suggests a more serious condition that may not be adequately addressed by droplet precautions alone.
C. Positive pressure rooms are typically used in healthcare settings to prevent outside air from entering the room, thus reducing the risk of airborne contaminants. While this measure can be beneficial for certain conditions, such as those requiring airborne precautions, it may not be the priority intervention.
D. Neutropenic precautions are implemented for patients with compromised immune systems, particularly those with low white blood cell counts (neutropenia). While this precaution is important for protecting immunocompromised patients from infections, it may not be the priority intervention.

A. orient to reality. B. identify social supports. C. replace fluids. D. apply restraints.

Correct Answer is C

Explanation

C. Alcohol withdrawal can lead to dehydration due to symptoms such as vomiting, diarrhea, and increased urination. Replacing fluids is important to prevent dehydration and maintain electrolyte balance.
A. Orienting the individual to reality involves helping them understand their current situation and surroundings. While this is an important aspect of nursing care, it may not be the highest priority during the initial phase of alcohol withdrawal.
B. Social support is vital for individuals undergoing alcohol withdrawal, as it can provide emotional reassurance and assistance during a challenging time. However, during the initial phase of withdrawal, the highest priority is typically addressing immediate physiological needs.
D. Restraints should only be used as a last resort and in situations where there is an imminent risk of harm to the individual or others.

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A physician mentions to a nurse that a newly admitted client is impulsive. The nurse should assess for behavior characterized by:

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Naxlex Comprehensive Predictor Exams

The nurse is assessing a newly admitted client whose chief complaint is "coughing up blood" and whose recent history includes a productive cough and night sweats. What is the nurse's priority intervention?

Correct Answer is B

Explanation

The highest priority nursing action relative to the initial phase of alcohol withdrawal would be to:

Correct Answer is C

Explanation

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