Complete the following sentence from the list of options. B...

The nurse is caring for a four-year-old child. While developing a plan of care, the nurse recognizes the child is in which stage of Erikson's stages of psychosocial development?

A. Initiative vs. Guilt
B. Autonomy vs. Shame and Doubt
C. Industry vs. Inferiority

Correct Answer: A

Rationale: A four-year-old is in the Initiative vs. Guilt stage, focusing on exploring and taking initiative.

The nurse reviews a client's medical record taking prescribed isoniazid for pulmonary tuberculosis. Which laboratory data is most important to monitor?

A. PT and PTT
B. CBC
C. BUN
D. Liver enzymes

Correct Answer: D

Rationale: Isoniazid can cause hepatotoxicity, making liver enzyme monitoring critical.

The following scenario applies to the next 1 items
The emergency department nurse is caring for a 22-year-old with altered mental status
Item 1 of 1
Admission Notes
2330 – 22-year-old male client arrived at the emergency department (ED) with friends who were at a party and was observed snorting a white powder and started acting erratically.
The client is hyper-alert, agitated, and only oriented to place on assessment. The client started shouting at staff during the assessment and struck a nurse with his fist. The primary healthcare provider (PHCP) was immediately notified of this incident.

Vital Signs
• Temperature 98.0o F (37o C)
• Pulse 110/minute
• Respirations 16/minute
• Blood Pressure 155/96 mm Hg
• O2 saturation 96% on room air

Complete the following sentences from the list of options.. Based on the client assessment, the client is likely intoxicated with ___ the nurse should immediately ___ based on the client's ___

A. heroin
B. cocaine
C. restrain the client
D. obtain a urine drug screen
E. blood pressure
F. physical violence

Correct Answer: B, C, F

Rationale: The client's agitation, hyper-alertness, and violence suggest cocaine intoxication. Immediate restraint ensures safety, and violence justifies this action.

The nurse is caring for a client who has been prescribed sertraline. The nurse understands that this medication is prescribed for which of the following conditions?

A. Major Depressive Disorder
B. Attention Deficit Hyperactivity Disorder
C. Obsessive-Compulsive Disorder
D. Generalized Anxiety Disorder
E. Bipolar Disorder

Correct Answer: A, C, D

Rationale: Sertraline, an SSRI, is indicated for Major Depressive Disorder, Obsessive-Compulsive Disorder, and Generalized Anxiety Disorder, but not for ADHD or Bipolar Disorder.

The med-surge nurse receives a report on a client who is legally blind. Which action by the nurse would be most likely to reduce this client's anxiety?

A. Assign the client to a private room.
B. Orient the client to their room.
C. Request for a sitter to be assigned.
D. Instruct the UAP to check on the client frequently.

Correct Answer: B

Rationale: Orienting a legally blind client to their room reduces anxiety by promoting safety and familiarity.

Female Reproductive System NCLEX RN Questions Related

Correct Answer: A, D