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A nurse is planning care for a client who has hyperthyroidism and is receiving radioactive iodine (radioiodine). Which of the following statements by the nurse regarding special precautions is appropriate?
- A. You will need to use a bathroom separate from other household members.
- B. You will need to remain at the hospital for the entire time the radioiodine is radioactive.
- C. A low fiber diet will be necessary.
- D. Additional Immunizations will be needed for full protection.
Correct Answer: A
Rationale: Rationale: Choice A is correct because radioiodine is excreted through bodily fluids including urine. Using a separate bathroom prevents exposure to others. Choice B is incorrect as hospitalization isn't always required. Choice C is irrelevant to radioiodine therapy. Choice D is incorrect as immunizations are not directly related to radioiodine precautions.
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A nurse is developing a plan of care for a client with bipolar I disorder,hospitalized for heart failure and showing signs of lithium toxicity. Which of the following interventions should the nurse include? (Select all that apply.)
- A. Set up a dietary consult for a low-sodium diet.
- B. Notify the provider of potential medication interactions.
- C. Withhold next dose of lithium.
- D. Educate the client about the need for hemodialysis.
- E. Discuss contraception.
- F. Assess need for and administer prochlorperazine PRN.
Correct Answer: B
Rationale:
The nurse is caring for a client diagnosed with severe intellectual disability. Which of the following characteristics should the nurse recognize to be associated with severe intellectual disability?
- A. The client can perform some self-care activities independently.
- B. The client has advanced speech development.
- C. Other than possible coordination problems,the client's psychomotor skills are not affected.
- D. The client communicates wants and needs by "acting out" behaviors.
Correct Answer: D
Rationale: The correct answer is D because individuals with severe intellectual disability often have limited communication skills and may resort to "acting out" behaviors to express their wants and needs. This is a characteristic commonly associated with severe intellectual disability.
A: The client can perform some self-care activities independently - This is unlikely in severe intellectual disability as individuals typically have limitations in self-care abilities.
B: The client has advanced speech development - Individuals with severe intellectual disability often have significant delays in speech development.
C: Other than possible coordination problems, the client's psychomotor skills are not affected - Individuals with severe intellectual disability commonly have deficits in both cognitive and motor skills.
E, F, G: No additional choices provided for analysis.
A nurse is planning care for a client who has dependent personality disorder. Which of the following actions should the nurse plan to take?
- A. Monitor the client closely to prevent self-mutilation.
- B. Set limits to prevent exploitation of other clients.
- C. Give positive feedback when the client is assertive with staff or clients.
- D. Discourage flamboyant or seductive behaviors.
Correct Answer: C
Rationale: The correct answer is C: Give positive feedback when the client is assertive with staff or clients. This is because individuals with dependent personality disorder often struggle with low self-esteem and lack of confidence in their own abilities. By providing positive feedback when the client demonstrates assertiveness, the nurse can reinforce and encourage this behavior, ultimately promoting the client's independence and self-confidence.
Choice A is incorrect because monitoring for self-mutilation is more relevant for clients with other mental health disorders such as borderline personality disorder. Choice B is incorrect as setting limits to prevent exploitation is more appropriate for clients with antisocial personality disorder. Choice D is incorrect as discouraging flamboyant or seductive behaviors is more relevant for clients with histrionic personality disorder.
A nurse is assessing a client diagnosed with schizophrenia. Which of the following behaviors should the nurse document to be associated with schizophrenia?
- A. Recurrent thoughts of past trauma
- B. Invents words that have no meaning
- C. Preoccupied with folding clothes
- D. Periods of elation with unusual talkativeness
Correct Answer: B
Rationale: The correct answer is B: Invents words that have no meaning. This behavior is associated with a symptom of schizophrenia called "neologisms," where individuals create new words that are not part of any known language. This is a characteristic feature of disorganized thinking in schizophrenia. Recurrent thoughts of past trauma (choice A) are more aligned with symptoms of PTSD rather than schizophrenia. Being preoccupied with folding clothes (choice C) is more indicative of obsessive-compulsive disorder. Periods of elation with unusual talkativeness (choice D) are more likely symptoms of bipolar disorder rather than schizophrenia.
A nurse in the acute mental health unit is admitting a new client with an eating disorder. The nurse is aware that which of the following are considered comorbidities of eating disorders? (Select all that apply.)
- A. Anxiety
- B. Depression
- C. Obsessive-compulsive disorder
- D. Schizophrenia
- E. Breathing-related sleep disorder
Correct Answer: A,B,C
Rationale: The correct answer is A, B, and C. Anxiety, depression, and obsessive-compulsive disorder are commonly seen as comorbidities in individuals with eating disorders. Anxiety and depression are often present due to the psychological stress and emotional turmoil associated with the eating disorder. Obsessive-compulsive disorder can manifest in obsessive thoughts about food, weight, and body image, as well as compulsive behaviors related to eating and exercise. Schizophrenia and breathing-related sleep disorder are not typically associated with eating disorders, making choices D and E incorrect. It is essential for the nurse to be aware of these comorbidities to provide holistic care to the client.