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Which intervention is likely to have the greatest positive impact on a client who has a history of medication noncompliance?
- A. Being admitted to an inpatient facility until his medication is at therapeutic levels
- B. Enrollment in an in-home psychiatric nursing service that provides his medication by injection
- C. Required attendance at an outpatient daycare program that focuses on reinforcing self-care skills
- D. Having the client sign a compliance contract that states his prescriptions will be free if he is compliant
Correct Answer: B
Rationale: The correct answer is B because enrolling the client in an in-home psychiatric nursing service that provides medication by injection ensures medication adherence. This intervention eliminates the need for the client to remember to take oral medication, reducing the risk of noncompliance. Inpatient admission (A) may not address the root cause of noncompliance and can be restrictive. Outpatient daycare (C) may not directly address medication adherence. A compliance contract (D) may not address the practical challenges of medication administration. Overall, choice B directly addresses the issue of medication noncompliance by providing a practical solution.
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What nursing action is important to remember prior to administering Propranolol to a client with anxiety?
- A. Check blood pressure first
- B. Fine hand tremor
- C. Headache
- D. Selective serotonin reuptake inhibitors (SSRIs)
Correct Answer: A
Rationale: Correct Answer: A - Check blood pressure first
Rationale:
1. Propranolol is a beta-blocker used for anxiety and hypertension.
2. Before administering Propranolol, it's crucial to check the client's blood pressure, as it can cause hypotension.
3. Monitoring blood pressure helps prevent adverse effects like dizziness, fainting, or decreased perfusion.
4. Fine hand tremor (B) is a potential side effect of Propranolol, but it's not the priority before administration.
5. Headache (C) can be a side effect of Propranolol but is not the primary concern pre-administration.
6. Selective serotonin reuptake inhibitors (SSRIs) (D) are not directly related to the administration of Propranolol for anxiety.
The child's ability to understand abstract logic develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: D
Rationale: Abstract logic, like hypothetical reasoning, develops in the formal operational stage (Piaget).
What is important to note about Divalproex (Depakote)?
- A. Can be toxic to liver
- B. Lethal in overdose
- C. contraindicated in first trimester of pregnancy
- D. Palpitations
Correct Answer: A
Rationale: The correct answer is A because Divalproex (Depakote) can be toxic to the liver. This is important to note as it can lead to liver damage and liver function tests should be monitored regularly. Choice B, lethal in overdose, is incorrect as while overdose can be serious, it is not specifically lethal. Choice C, contraindicated in the first trimester of pregnancy, is also incorrect as Divalproex is actually known to be used for certain seizure disorders during pregnancy. Choice D, palpitations, is unrelated to the medication's primary side effects.
While caring for a patient with a methamphetamine overdose, which tasks are the priority focuses of care? Select all that apply.
- A. Administration of naloxone (Narcan)
- B. Vitamin B12 and folate supplements
- C. Restoring nutritional integrity
- D. Prevention of seizures
Correct Answer: D
Rationale: The correct answer is D: Prevention of seizures. Methamphetamine overdose can lead to seizures due to its effects on the central nervous system. Preventing seizures is crucial to avoid further complications.
A: Administration of naloxone is used for opioid overdoses, not methamphetamine.
B: Vitamin B12 and folate supplements may be beneficial for long-term recovery but are not the priority in the acute care of a methamphetamine overdose.
C: Restoring nutritional integrity is important but not the immediate priority when managing a methamphetamine overdose.
In summary, preventing seizures should be the priority focus of care for a patient with a methamphetamine overdose as it directly addresses a life-threatening complication of the overdose.
Which is not a goal of Social Learning Family Interventions?
- A. Developing optimism
- B. Developing independence in living skills
- C. Appreciating the general nature of their situation
- D. Engaging in an active experience of change
Correct Answer: C
Rationale: SLFI focuses on behavioral change, not abstract appreciation of situations.