The nurse should monitor the client for signs and symptoms of digoxin toxicity if the laboratory report reflects a serum:

sodium of 133 mg/dl.

glucose of 110 mg/dl.

potassium of 3.0 mEq/L.

calcium of 9.0 mg/dl.

Answer and Explanation

The Correct Answer is C

C. Digoxin toxicity is a serious condition that can occur when there is too much digoxin in the body. It can lead to life-threatening cardiac dysrhythmias. One of the risk factors for digoxin toxicity is low blood levels of potassium, or hypokalemia.
A. Electrolyte imbalances, including hyponatremia (low sodium levels), can contribute to digoxin toxicity. However, a sodium level of 133 mg/dl alone does not directly indicate digoxin toxicity.
B. Blood glucose levels within the normal range (80-120 mg/dl) would not directly indicate digoxin toxicity.
D. Calcium levels within the normal range (8.5-10.5 mg/dl) do not directly indicate digoxin toxicity.

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Free Nursing Study Resources

Correct Answer is C

Explanation

C. Individuals with borderline personality disorder often struggle with intense emotions and may engage in self-harming behaviors as a maladaptive coping mechanism. Helping the client identify triggers for their distress and teaching them alternative coping strategies, such as mindfulness, grounding techniques, or distress tolerance skills, can empower them to manage their emotions in healthier ways.
A. Anxiolytic medications can help alleviate anxiety symptoms but they are not typically the first-line intervention for addressing acute distress in individuals with borderline personality disorder (BPD).
B. Restraint should not be the first response to a client expressing distress or suicidal ideation. Physical restraint should only be used as a last resort in situations where there is an imminent risk of harm to the client or others and should be implemented by trained professionals following established protocols.
D. Encouraging self-harm behaviors reinforces maladaptive coping strategies and can increase the risk of harm to the client. It is essential to provide support and interventions aimed at reducing self-harming behaviors.

A. Marital harmony in the household B. Being raised by multiple caregivers C. Regular prenatal care for the mother D. Developmental milestones achieved on schedule

Correct Answer is B

Explanation

B. Children who are raised by multiple caregivers may experience challenges in forming secure attachments, receiving consistent discipline and support, and maintaining stability in their environment. These disruptions can contribute to emotional insecurity, behavioral problems, and difficulties in social relationships, which are risk factors for the development of psychiatric disorders.
A. Marital harmony in the household is generally considered a protective factor rather than a predisposing factor for the development of psychiatric disorders in children.
C. Regular prenatal care for the mother is generally considered a protective factor for the child's development rather than a predisposing factor for psychiatric disorders.
D. Achieving developmental milestones on schedule indicates healthy neurological and cognitive development, as well as appropriate social and emotional functioning.

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The nurse should monitor the client for signs and symptoms of digoxin toxicity if the laboratory report reflects a serum:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with borderline personality disorder reported to the nurse in the clinic that they feel empty and anxious and wants to cut their arms. The nurse should:

Correct Answer is C

Explanation

Which predisposing factor obtained during the nursing assessment would cause the nurse to consider a child to be at risk for the development of a psychiatric disorder?

Correct Answer is B

Explanation

When assessing a client diagnosed with narcissistic personality disorder, the nurse expects to identify which characteristic behavior?

An individual with a history of antisocial personality disorder was arrested for driving under the influence of alcohol and causing a serious car accident. Which comment on this behavior would be expected?

When assessing a 2-year-old child with suspected autism spectrum disorder, the nurse should be particularly alert for:

A woman in a severely abusive relationship is hospitalized with severe injuries and head trauma. Her husband sends flowers to the unit and a card begging for forgiveness. The nurse recognizes this to be which phase in an abusive relationship?

A nurse is caring for a 6-year old child suffering from separation anxiety. Which finding would a nurse expect when assessing the child? The child's:

A client notifies a treatment team member of current suicidal ideation. Which nursing intervention would take priority?

The nurse understands that when a practitioner corrects subluxation by manipulating the vertebrae of the spinal column, the practitioner is employing which therapy?

The nurse has recently set limits for a client with borderline personality disorder. The client tells the nurse, "You used to care about me. I thought you were wonderful. Now I can see that I was mistaken. You are hateful." This outburst can be assessed as: