During an admission assessment, a client reports currently using heroin. Which information is most important for the nurse to consider in the plan of care?

Family history of schizophrenia.

History of suicide attempts.

Undiagnosed social anxiety symptoms (SAD).

Feelings of disorientation.

Answer and Explanation

The Correct Answer is B

A. Family history of schizophrenia is relevant but not immediately critical.

B. A history of suicide attempts indicates a high risk of self-harm and requires immediate attention in the plan of care.

C. Social anxiety symptoms are important but not as critical as addressing suicide risk.

D. Disorientation needs assessment but is not as urgent as managing suicide risk.

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Free Nursing Study Resources

Correct Answer is ["0.75"]

Explanation

To determine the correct dosage, you'll need to use the concentration of the reconstituted solution to find out how many milliliters contain the prescribed dose of 0.1875 mg.

Since the solution has a concentration of 0.25 mg per 1 mL, you would divide the prescribed dose by the concentration to find the volume to administer: 0.1875 mg / 0.25 mg/mL = 0.75 mL.

A. Give the client 4 ounces (120 mL) of orange juice. B. Administer a PRN dose of regular insulin. C. Provide the client with 1/2 cup (120 mL) diet carbonated soda. D. Check the client's current fingerstick blood glucose. E. Obtain blood pressure and pulse rate.

Correct Answer is ["A","D","E"]

Explanation

A. Giving the client 4 ounces of orange juice can quickly raise blood glucose levels if hypoglycemia is suspected.

B. Administering insulin is inappropriate without knowing the current blood glucose level, especially if hypoglycemia is suspected.

C. Diet carbonated soda does not contain sugar and will not help raise blood glucose levels.

D. Checking the client's fingerstick blood glucose is essential to determine if hypoglycemia is causing the symptoms.

E. Obtaining blood pressure and pulse rate is important to assess the client's overall condition and identify any additional complications.

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During an admission assessment, a client reports currently using heroin. Which information is most important for the nurse to consider in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["0.75"]

Explanation

A client newly diagnosed with diabetes mellitus suddenly becomes confused and weak. Which intervention(s) should the nurse implement? Select all that apply.

Correct Answer is ["A","D","E"]

Explanation

A young adult is brought to the emergency department after taking a handful of drugs. The client is unresponsive, so an endotracheal tube (ETT) is inserted. How should the nurse determine if the ETT is correctly placed? Select all that apply.

A client receives a prescription for 1 L of lactated Ringer's IV to be infused over 12 hours. The IV administration set delivers 15 gtt/mL. How many gtt/min should the nurse regulate the infusion? (Enter numerical value only. If rounding is required, round to the nearest whole number.)

An older adult client is brought to the clinic for Increased confusion over the past three days and presents with a draining wound on the right leg. Which assessment is most important for the nurse to obtain?

The nurse is interviewing a client with schizophrenia. Which client behavior requires immediate intervention?

What statement by a client who is 24 hours post-subtotal thyroidectomy requires an immediate investigation by the nurse?

A client is being treated for syndrome of inappropriate antidiuretic hormone (SIADH). On examination, the client has a weight gain of 4.4 lbs (2 kg) in 24 hours and an elevated blood pressure. Which intervention should the nurse implement first?