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ATI RN Custom NURS 120 Psychiatric Nursing FA23 Exam 2
Total Questions : 50
Showing 25 questions, Sign in for moreA nurse is caring for a client who has bipolar disorder and a new prescription for valproate.
Which of the following instructions should the nurse give the client about the use of this medication?
A nurse is planning care for a client who is in the manic phase of bipolar disorder.
Which of the following interventions should the nurse include in the client's plan of care?.
Which nursing intervention will have the greatest impact on both the management of care and on milieu environment when considering the clients diagnosed with bipolar disorder?
A nurse is caring for a client who has bipolar disorder and is taking lithium.
The client reports blurred vision and ataxia.
Which of the following actions should the nurse take?
A nurse is teaching a client who has a new prescription for lithium to treat bipolar disorder.
The nurse should instruct the client to ensure an adequate intake of which of the following dietary elements?
A nurse is reviewing medication records for several clients who have bipolar disorder.
The nurse should recognize that which of the following medications are used to treat clients who have bipolar disorder.(Select all that apply.).
A nurse is caring for a client who has schizophrenia and is experiencing a hallucination. Which of the following actions should the nurse take?
A nursing student is looking at a telemetry screen with multiple rhythms. The unit is a step-down cardiac unit with delicate patients. Patients on Census. The unit has:
1. 84-year-old male with AFib, diaphoretic, and complaining of fatigue.
2. 45-year-old female with SVT not responding to adenosine.
3. 78-year-old female with bradycardia who was given atropine and epinephrine, yet unresolved.
4. 80-year-old male in pulseless Ventricular fibrillation being coded and transferred to Intensive Care Unit.
5. 69-year-old female who arrived at the unit symptomatic and currently being coded is pulseless with Ventricular Tachycardia.
The nurse on the step-down unit explains to the nursing student the electricity to be used for each dysrhythmia. Select the correct electricity to be used to manage the dysrhythmias listed:
Transcutaneous Pacing, Defibrillation, or Synchronized cardioversion?
Dysrhythmias:
1. Ventricular fibrillation.
2. PVC-run ventricular tachycardia with a pulse.
3. Atrial Flutter.
4. Bradycardia.
Explanation
Ventricular fibrillation: The correct electricity is Defibrillation. Ventricular fibrillation is a life-threatening condition that requires immediate medical attention. Defibrillation is the process of delivering an electric shock to the heart to stop the fibrillation and allow the heart’s normal rhythm to resume4.
PVC-run ventricular tachycardia with a pulse: The correct electricity is Synchronized Cardioversion. This is used when the patient is hemodynamically stable. It involves the delivery of a therapeutic dose of electrical current to the heart at a specific moment in the cardiac cycle5.
Atrial Flutter: The correct electricity is Synchronized Cardioversion. Atrial flutter is a type of abnormal heart rhythm, or arrhythmia. It can be treated with synchronized cardioversion, in which a controlled electric shock is delivered to the heart to restore normal rhythm5.
Bradycardia: The correct electricity is Transcutaneous Pacing. This is a temporary means of pacing a patient’s heart during a medical emergency. It should be undertaken by healthcare providers who are trained in the procedure5.
So, the correct answer is Defibrillation for Ventricular fibrillation, Synchronized Cardioversion for PVC-run ventricular tachycardia with a pulse and Atrial Flutter, and Transcutaneous Pacing for Bradycardia, after analyzing all choices.
A nurse is caring for a client who has schizophrenia and is experiencing a variety of hallucinations.
Which of the following hallucinations is the priority for the nurse to address?
A nurse is caring for a client who has been diagnosed with schizophrenia and appears confused and has distortions in their thinking and speech patterns.
Which of the following is the priority nursing intervention for this client?
A nurse is caring for a client who has bipolar disorder and is in the manic phase.
The client says he is bored.
Which of the following activities is appropriate for the nurse to suggest to this client?
A nurse is educating a client who is prescribed clozapine.
Which of the following findings should the nurse identify as consistent with agranulocytosis and instruct the client to monitor?
Your patient is experiencing extrapyramidal symptoms (EPS) from antipsychotic therapy.
You understand that the following medications are used to reverse EPS.
(Select All that Apply.).
A nurse is caring for a group of clients at a mental health facility.
The nurse should identify that which of the following clients is exhibiting a warning sign of suicide?
A nurse in an acute care mental health facility is caring for a client who has depression.
After 3 days of treatment, the nurse notices that the client suddenly seems cheerful and relaxed and there are no longer signs of a depressive state.
Which of the following interventions is appropriate to include in the plan of care?
A nurse is assessing a client who is receiving treatment with multiple antipsychotic medications and who suddenly became ill.
Findings include blood pressure changes, hyperpyrexia, and diaphoresis.
The nurse should recognize that which of the following adverse effects may be occurring?
A nurse is teaching a client who has bipolar disorder and a prescription for lithium to recognize the manifestations of toxicity.
Which of the following statements by the client indicates an understanding of the teaching?
A nurse is caring for a client who has schizophrenia and is taking haloperidol.
The nurse should monitor for which of the following adverse effects of haloperidol?
A nurse is caring for a client who has schizophrenia and is experiencing auditory hallucinations.
Which of the following responses should the nurse make first?
A nurse is assessing for the presence of extrapyramidal side effects (EPS) in a client who is taking chlorpromazine.
Which of the following findings should the nurse recognize as EPS? (Select all that apply.).
A nurse is preparing to teach a client about his prescription of lithium for the treatment of bipolar disorder.
Which of the following statements should the nurse include in the teaching?
A nurse is reviewing medications for a newly admitted client who has bipolar disorder and is experiencing mania.
Which of the following client prescriptions should the nurse realize is expected to reduce the client's mania?.
A nurse asks a client who is suicidal to make a safety contract, but the client declines.
Which of the following actions should the nurse identify as the priority?.
A nurse is reviewing discharge instructions with a client who has bipolar disorder and is taking lithium. Which of the following manifestations should the nurse include as an indication of mild toxicity?
A nurse is assessing a client who has schizophrenia and is taking risperidone.
Which of the following findings should the nurse expect?.
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