Nokea
A patient prone to manic episodes is reevaluated and diagnosed with acute kidney injury. Which medication would the nurse anticipate holding? A. Xanax B. Carbamazepine (Tegretol) C. Nifedipine D. Lithium
- A. Xanax
- B. Carbamazepine (Tegretol)
- C. Nifedipine
- D. Lithium
Correct Answer: D
Rationale: The correct answer is D, Lithium. In a patient prone to manic episodes with acute kidney injury, Lithium should be held due to its potential to worsen renal function. Xanax (A) is not typically contraindicated in acute kidney injury. Carbamazepine (B) may be used cautiously but does not have the same risk as Lithium. Nifedipine (C) is a calcium channel blocker and does not directly impact kidney function in the same way Lithium does.
You may also like to solve these questions
What does the textbook consider the client's ultimate resource of positive, personal power?
- A. A strong therapeutic alliance
- B. Positive self-regard
- C. Free will
- D. A functional relationship with community
Correct Answer: C
Rationale: Free will empowers clients to enact change, per the text.
When children come to understand that people have thoughts, feelings, and beliefs that are different from their own. This is known as ----
- A. Egocentric theory
- B. Behavioral theory
- C. Cognitive theory
- D. Theory-of-mind
Correct Answer: D
Rationale: Theory of mind, emerging around age 4, is the ability to understand others' mental states (Piaget, Vygotsky).
Girls mature than boys.
- A. Slower
- B. Faster
- C. Both of these
- D. None of these
Correct Answer: B
Rationale: Girls typically reach physical and cognitive maturity faster than boys, especially in early development.
Which mental health service focuses on a largely underserved at-risk population?
- A. Stress management classes for new mothers
- B. A support group for recovering male alcoholics
- C. A depression support group for adolescent children
- D. Socialization therapy for adults diagnosed with schizophrenia
Correct Answer: C
Rationale: The correct answer is C: A depression support group for adolescent children. This population is largely underserved due to stigma, lack of resources, and limited awareness. Adolescents are at a vulnerable stage in their lives and may struggle to express their emotions and seek help. Providing a support group specifically tailored to address their mental health needs can offer a safe space for them to share experiences, receive guidance, and build coping skills. Stress management classes for new mothers (A) target a specific demographic but not as underserved as adolescent children. A support group for recovering male alcoholics (B) and socialization therapy for adults with schizophrenia (D) also address important mental health issues but are not focused on as an underserved population as adolescent children struggling with depression.
Diverse cultural beliefs can result in dramatically varied perceptions of wellness, disease, and the treatment of disease. In order to best address these variations when planning nursing care, the nurse and client initially:
- A. Agree to respect each other's beliefs and values.
- B. Discuss what the client believes is the cause of his or her illness.
- C. Agree that treatment planning will include family members when possible.
- D. Discuss the incorporation of both traditional nursing practice and culturally based practices.
Correct Answer: B
Rationale: The correct answer is B: Discuss what the client believes is the cause of his or her illness. This is the best initial step to address cultural variations in perceptions of wellness and disease because it allows the nurse to understand the client's perspective and tailor care accordingly. By exploring the client's beliefs, the nurse can identify any cultural factors that may impact treatment decisions.
A: Agree to respect each other's beliefs and values - While important, this is a broader concept and may not directly address the specific cultural beliefs influencing the client's health views.
C: Agree that treatment planning will include family members when possible - Involving family members is valuable but may not directly address the immediate need to understand the client's beliefs about illness.
D: Discuss the incorporation of both traditional nursing practice and culturally based practices - This is important but may be premature without first understanding the client's specific beliefs about illness.