Nokea
What high-priority nursing diagnoses and interventions will you implement for a client in a manic phase of bipolar disorder?
- A. High blood pressure
- B. Increased heart rate
- C. Decreased oxygen supply
- D. Muscle relaxation
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You may also like to solve these questions
Bernadette’s morning laboratory results have just come in. Her serum potassium level is currently 5.4 mEq/L. The physician recognizes this as:
- A. Hypokalemia.
- B. Hyperkalemia.
- C. Hypocalcemia.
- D. Hypercalcemia.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The charge nurse on the eating disorder unit instructs a new staff member to weigh each client in his or her hospital gown only. What is the rationale for this nursing intervention?
- A. To reduce the risk of the client feeling cold due to decreased fat and subcutaneous tissue.
- B. To cover the bony prominence and areas where there is skin breakdown.
- C. So the client knows what type of clothing to wear when weighed.
- D. To reduce the tendency of the client to hide objects under his or her clothing.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You are teaching prevention of accidental eye injuries in a community health clinic to a church group. What is the most important thing to stress?
- A. Follow workplace policies for handling chemicals.
- B. Children and parents should be cautious about aggressive play.
- C. Wear protective eyewear during sports or hazardous work.
- D. Establish emergency eyewash stations in the workplace.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client takes atorvastatin (Lipitor), with laboratory results showing a blood urea nitrogen (BUN) of 33 mg/dL and creatinine of 2.8 mg/dL. What action by the nurse is best?
- A. Ask if the client eats grapefruit.
- B. Assess the client for dehydration.
- C. Facilitate admission to the hospital.
- D. Obtain a random urinalysis.
Correct Answer: A
Rationale: The correct answer is A: Ask if the client eats grapefruit. Atorvastatin can interact with grapefruit juice, leading to increased drug levels and potential toxicity. The elevated BUN and creatinine levels suggest possible kidney impairment, which could be exacerbated by the drug interaction. Assessing for grapefruit consumption allows the nurse to address this potential risk factor.
B: Assessing for dehydration would not directly address the potential drug interaction with grapefruit.
C: Hospital admission is not necessary based solely on the information provided; this would be an extreme action without further assessment.
D: Obtaining a random urinalysis would not provide relevant information related to the potential drug interaction with grapefruit.
The patient is complaining of insomnia. Which bedtime snack would be the best option for this patient?
- A. Hershey’s bar
- B. 8 oz hot chocolate
- C. 8 oz Dannon coffee yogurt
- D. 1 cup Ben & Jerry’s nonfat coffee fudge frozen yogurt
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.