The nurse continues to care for the client.

Exhibits
A nurse on the inpatient mental health unit is planning care for the client.

For each potential provider's prescription, click to specify if the prescription is anticipated or contraindicated for the client

Provide the client with high-calorie fluids every hour.

Encourage the client to avoid napping during the day.

Minimize environmental stimuli for the client.

Weigh the client each day.

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"}}

Rationale:

Provide the client with high-calorie fluids every hour: The client has poor self-care, has not eaten for an extended period, and exhibits hyperactivity due to mania. Frequent high-calorie fluids help maintain hydration and meet increased metabolic demands. Regular intake supports nutrition and prevents further weight loss.
Encourage the client to avoid napping during the day: Avoiding daytime napping can help regulate sleep-wake cycles and promote restorative sleep at night. Clients experiencing mania often have decreased need for sleep, so reinforcing nighttime sleep routines supports stabilization of circadian rhythms.

Minimize environmental stimuli for the client: Clients experiencing a manic episode are easily overstimulated, which can worsen their agitation, anxiety, and psychosis. A calm, quiet environment with reduced distractions is essential for de-escalation and promoting rest.
Weigh the client each day: Daily weight monitoring helps assess nutritional status and detect fluid imbalance, which is important given the client’s poor self-care, hyperactivity, and potential for dehydration or rapid weight loss.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

A. Vaccinate susceptible children and adults against smallpox: Vaccination is a public health intervention but is typically conducted under the direction of public health authorities and is not a routine nursing disaster preparation activity.

B. Assess types, levels, and scopes of disasters: While understanding disaster types is important, assessment of scope and level is generally part of emergency management planning at an organizational or governmental level, rather than a direct nursing responsibility.

C. Make quarantine preparations for those exposed to anthrax: Quarantine planning is a public health measure implemented by authorities during an actual event. Nurses may assist in care during quarantine, but preparing quarantines is not a primary preparation activity.

D. Participate in community drills and mock events: Engaging in drills and simulations allows nurses to practice roles, improve response times, and enhance preparedness for real disaster situations. Participation in these exercises is a key nursing activity in disaster planning.

A. Ensure that pork is included in the evening meal. B. Schedule for meals to be served after sundown. C. Avoid red meat in the client's meals. D. Wait 1 hr after the client consumes dairy to serve poultry.

Correct Answer is B

Explanation

Rationale:

A. Ensure that pork is included in the evening meal: Pork and pork-derived products are prohibited in Islam due to religious dietary laws. Serving pork would be culturally inappropriate and could cause distress to the client, as it violates halal dietary practices.

B. Schedule for meals to be served after sundown: During Ramadan, Muslims fast from dawn to sunset, abstaining from food and drink during daylight hours. Scheduling meals after sundown aligns with their religious observance and supports cultural sensitivity and nutritional needs.

C. Avoid red meat in the client's meals: Islam does not prohibit the consumption of red meat as long as it is halal-slaughtered. There is no religious requirement during Ramadan to avoid red meat, so this action is unnecessary unless restricted for other health reasons.

D. Wait 1 hr after the client consumes dairy to serve poultry: This practice is not part of Islamic dietary rules and is not relevant to Ramadan fasting. It has no religious basis and would not address the specific dietary considerations for a devout Muslim during Ramadan.

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The nurse continues to care for the client. Exhibits A nurse on the inpatient mental health unit is planning care for the client. For each potential provider's prescription, click to specify if the prescription is anticipated or contraindicated for the client

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A newly licensed nurse is reviewing the role of a nurse in disaster planning. Which of the following is an activity a nurse should engage in disaster preparation?

Correct Answer is D

Explanation

A nurse is planning care for a client during Ramadan who is a devout Muslim. Which of the following actions should the nurse include regarding the client's diet?

Correct Answer is B

Explanation

A nurse is caring for a toddler in the outpatient setting. Exhibits Complete the following sentence by using the lists of options. The nurse recognizes the toddler has likely developed dropdown due to dropdown.

A nurse in a provider's office is caring for a client. Exhibits The nurse is performing a fall risk assessment for the client. Select the 3 findings that place the client at risk for a fall.

A nurse is caring for a client who is scheduled for a surgical procedure and states, "I don't want to have this surgery anymore." Which of the following responses should the nurse make?

Exhibits A nurse in an emergency department is assessing a client who has major depressive disorder. Which of the following actions should the nurse take first? (Click on the exhibit tabs for additional information about the client. There are three tabs that contain separate categories of data.)

Which of the following clients should be considered a priority for immediate assessment and intervention?

A nurse is caring for an infant in an outpatient pediatrician's office. Exhibits Click to specify if each finding is indicative of fifth disease, measles, or rubella. Each finding may support more than one disease process.

A nurse is administering a scheduled medication to a client. The client reports that the medication appears different than what they take at home. Which of the following responses should the nurse make?

The nurse continues to care for the client.

Exhibits
A nurse on the inpatient mental health unit is planning care for the client.

For each potential provider's prescription, click to specify if the prescription is anticipated or contraindicated for the client