A client on the mental health unit has been scowling and rapidly pacing up and down the hall for several minutes. Which behaviors are most important for the practical nurse (PN) to monitor?

Decreased activity level and change in aﬀect.

Periodic sighing and shaking the head.

Repeated requests for attention from the nurse.

Argumentativeness and use of profanity.

Answer and Explanation

The Correct Answer is D

The most important behaviors for the practical nurse (PN) to monitor in this situation are argumentativeness and use of profanity. These behaviors may indicate that the client is becoming agitated and may pose a risk to themselves or others. The PN should closely monitor the client's behavior and take appropriate action to ensure the safety of the client and others on the unit. The other behaviors listed may also be important to monitor, but argumentativeness and use of profanity are the most important in this situation

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Correct Answer is A

Explanation

During pregnancy, it is important for the client to consume a balanced and nutritious diet that includes adequate protein, vitamins, and minerals. However, clients with nausea and vomiting may have difficulty tolerating certain foods, particularly those that are high in fat or spicy. Cheeseburgers and French fries are typically high in fat and can exacerbate nausea, making them a poor choice for a client with this symptom.

Baked chicken with rice and pasta with steamed vegetables are both healthier options that can provide the client with adequate nutrition.

Baked potato chips and lemonade may be a suitable snack for some clients, but the high salt content of the chips may exacerbate ﬂuid retention, which can be a concern for clients with pyelonephritis. The PN should encourage the client to choose healthier options and avoid foods that are likely to exacerbate her symptoms.

A. Listen attentively to the client's expression of anger, then support the family's wish that the client be hospitalized. B. Tell the client that monitoring and medication management during detoxification is best provided in the hospital. C. Explain to the client that his family cares about him and wants him to be hospitalized during detoxification. D. Use a mater-of-fact manner to inform the client that hospitalization is necessary during detoxification.

Correct Answer is B

Explanation

Detoxification can be a difficult and potentially dangerous process, and it's important for the client to receive proper monitoring and medication management during this time. The hospital is equipped to provide this level of care and support. The practical nurse should explain this to the client and emphasize the importance of receiving proper care during detoxification.

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A client on the mental health unit has been scowling and rapidly pacing up and down the hall for several minutes. Which behaviors are most important for the practical nurse (PN) to monitor?

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Naxlex Comprehensive Predictor Exams

A primigravida who is at 10-weeks gestation is hospitalized on the antepartum unit for pyelonephritis. The client tells the practical nurse (PN) that she has had several episodes of nausea. When reviewing her lunch menu, which food should the PN discourage her from choosing?

Correct Answer is A

Explanation

Correct Answer is B

Explanation

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