Following involvement in a motor vehicle collision, a middle-aged adult client is admitted to the hospital with multiple facial fractures. The client's blood alcohol level is high on admission. Which PRN prescription should be administered if the client begins to exhibit signs and symptoms of delirium tremens (DTs)?

Prochlorperazine 5 mg IM.

Hydromorphone 2 mg IM.

Lorazepam 2 mg IM.

Chlorpromazine 50 mg IM.

Answer and Explanation

The Correct Answer is C

A. Prochlorperazine is an antiemetic and antipsychotic medication used to treat nausea, vomiting, and psychotic disorders, but it is not indicated for the treatment of delirium tremens. B. Hydromorphone is an opioid analgesic and would not be appropriate for the treatment of delirium tremens.
C. Lorazepam is a benzodiazepine medication commonly used to manage alcohol withdrawal symptoms, including delirium tremens.
D. Chlorpromazine is an antipsychotic medication primarily used to treat psychotic disorders and would not be the first-line choice for managing delirium tremens.

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Correct Answer is B

Explanation

A. This comment may come across as invalidating the client's feelings by assuming overreaction, which could potentially escalate the situation.
B. This response acknowledges the client's feelings and invites further exploration, fostering a therapeutic relationship and understanding of the client's experiences.
C. While understanding the cause of symptoms is important, it may not necessarily make them easier to handle, and it could divert focus from addressing the client's immediate concerns.
D. While encouragement is positive, this comment does not directly address the client's feelings or concerns, which is essential for building a therapeutic relationship.

A. Shame and guilt. B. Children. C. Religious beliefs about marriage. D. The perpetrator will not change. E. Financial dependency.

Correct Answer is ["A","B","C","E"]

Explanation

A. Shame and guilt often play a significant role in why victims of intimate partner violence may struggle to leave abusive relationships. Victims may feel ashamed of the abuse they are experiencing or guilty for various reasons, such as believing they are responsible for the abuse or worrying about the judgment of others.
B. Children can be a central factor in a victim's decision to stay in an abusive relationship. Concerns about the well-being of the children, fear of losing custody, or the desire to maintain a two-parent household can influence a victim's decision-making process.
C. Religious beliefs about marriage can also impact a victim's choice to stay in an abusive relationship. Some religions emphasize the sanctity of marriage and the importance of family unity, which can lead victims to feel obligated to stay and try to work things out despite the violence.
D. The belief that the perpetrator will not change is not typically a reason victims stay; rather, it's often hope for change that keeps them in the relationship. However, this option does not apply as a reason for staying as per the context of the question.
E. Financial dependency is a common barrier to leaving an abusive relationship. Victims may be economically dependent on their abusers for basic needs and financial security, making it challenging to envision a life independent of the relationship.

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Naxlex Comprehensive Predictor Exams

A client is admitted to the mental health unit with a bipolar disorder. When seeking to establish a therapeutic relationship and interacting with the client, which comment is best for the nurse to make?

Correct Answer is B

Explanation

Which reason(s) should the nurse expect a female client to use when she is having difficulty leaving a relationship where she is a victim of intimate partner violence? Select all that apply.

Correct Answer is ["A","B","C","E"]

Explanation

When the nurse addresses questions to an adult client who is depressed, the client's responses are delayed. Which intervention should the nurse include in the client's plan of care?

A female client is brought to the emergency department after police officers found her disoriented, disorganized, and confused. The nurse also determine the client is homeless and is exhibiting suspiciousness. This client's plan of care should include what priority problem?

The nurse is admitting a male client who takes lithium carbonate twice a day. Which information should the nurse report to the healthcare provider immediately?

A client who is an alcoholic receives a prescription for disulfiram 500 mg by mouth (PO) daily. Which instruction should the nurse provide to this client?

Which is the best approach for the nurse to use when interviewing a client about suicidal ideations?

The nurse is assessing a client who reports using cocaine several times in the past week. Which observations should the nurse expect on assessment?

The nurse observes a client with a history of psychosis repeatedly looking to the side and mumbling responses to no one present in that direction. Which comment is best for the nurse to make?

Which intervention(s) should the nurse include in the plan of care for an adolescent client who is depressed? Select all that apply.