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A nurse is caring for a client who has an opioid use disorder. The nurse should anticipate that the provider will prescribe which of the following medications for treatment?
- A. Phenobarbital.
- B. Diazepam.
- C. Chlordiazepoxide.
- D. Buprenorphine.
Correct Answer: D
Rationale: Buprenorphine is a partial opioid agonist used in medication-assisted treatment for opioid use disorder, helping to reduce cravings and withdrawal symptoms. It’s specifically indicated for this condition.
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A nurse is reviewing the medical record of a client who is to receive electroconvulsive therapy. The nurse should notify the provider for which of the following findings?
- A. Asthma.
- B. Crohn's disease.
- C. Renal colic.
- D. Cardiac arrhythmia.
Correct Answer: D
Rationale: Cardiac arrhythmia is a contraindication for ECT because the procedure can increase the risk of cardiac complications. ECT involves electrical stimulation that can affect heart rhythm, requiring prior cardiac evaluation.
A nurse is collecting data from a client who experienced physical abuse as a child. Which of the following findings should the nurse identify as a risk factor for the client to become a perpetrator of child abuse?
- A. Low tolerance for frustration.
- B. Absence of impulsive behaviors.
- C. Involved in community activities.
- D. Submissive personality.
Correct Answer: A
Rationale: Low tolerance for frustration is a risk factor for becoming a perpetrator of child abuse as it can lead to impulsive and aggressive behaviors, increasing the likelihood of abusive actions.
A nurse is caring for a client who has dementia and is experiencing an increased number of falls. Which of the following actions should the nurse take?
- A. Request a consult with recreational therapy.
- B. Lower the window shade in the client's room.
- C. Place the client in a room close to the nurses' station.
- D. Obtain a PRN prescription for a vest restraint.
Correct Answer: C
Rationale: Placing the client near the nurses' station allows for closer monitoring and quicker intervention, which can help prevent falls. This is a practical, non-restrictive measure to enhance safety.
A nurse is caring for a client who was placed in four-point restraints by the nursing staff following an episode of violent behavior. Which of the following actions should the nurse take?
- A. Document the client's behavior in the medical record every 1 hr.
- B. Keep staff interactions with the client to a minimum.
- C. Request the provider renew the prescription in 24 hr.
- D. Provide range-of-motion exercises to all extremities every 2 hr.
Correct Answer: D
Rationale: Providing range-of-motion exercises every 2 hours helps to prevent complications associated with immobility, such as muscle atrophy and pressure ulcers. This is a critical safety measure for clients in restraints.
A nurse is reinforcing teaching with a client who has bipolar disorder and has a new prescription for lithium. To address possible adverse effects
- A. the nurse should include that which of the following laboratory values will be monitored while the client is taking this medication?
- B. Liver enzymes.
- C. Sodium level.
- D. Uric acid.
- E. Erythrocyte sedimentation rate.
Correct Answer: B
Rationale: Sodium levels must be monitored while taking lithium because lithium can alter sodium and fluid balance. Changes in sodium levels can affect lithium levels and potentially lead to toxicity, making this a critical monitoring parameter.