A nurse in a mental health facility is caring for an adolescent who is newly admitted for an overdose of prescription pain medication.
The client has prescriptions for an anxiolytic and an SSRI antidepressant.
Which of the following precautions should the nurse take?

Implement 24-hr one-to-one nursing observation.

Document the client's behavior every 2 hr.

Restrict interactions with other clients.

Administer prescribed medication via the IM route.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Implementing 24-hr one-to-one nursing observation is crucial for ensuring the safety of a client who has overdosed and is at risk of self-harm.

Choice B rationale

Documenting the client's behavior every 2 hr is not sufficient to ensure their safety in an overdose situation.

Choice C rationale

Restricting interactions with other clients does not directly address the immediate risk of harm to the client.

Choice D rationale

Administering prescribed medication via the IM route does not provide the necessary supervision for a client at high risk of self-harm.

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Correct Answer is ["2.5"]

Explanation

Step 1 is (50 mg ÷ 20 mg/mL) × 1 mL = 2.5 mL.

Final calculated answer: 2.5 mL.

A. People who have bulimia nervosa are at risk for developing diabetes mellitus. B. Bulimia nervosa is difficult to notice because a person might be of average or ideal body weight. C. People who have bulimia nervosa eat an average amount of food on a daily basis. D. As long as a person is not vomiting after eating, they do not have bulimia nervosa.

Correct Answer is B

Explanation

Choice A rationale

Bulimia nervosa primarily affects the gastrointestinal system, dental health, and electrolyte balance. While there are health risks, diabetes mellitus is not directly associated with bulimia nervosa.

Choice B rationale

Individuals with bulimia nervosa often maintain an average or ideal body weight, which makes the disorder less visible compared to anorexia nervosa.

Choice C rationale

Bulimia nervosa is characterized by episodes of binge eating followed by compensatory behaviors such as vomiting, not by average food consumption.

Choice D rationale

The absence of vomiting does not rule out bulimia nervosa, as individuals may engage in other compensatory behaviors like excessive exercise or fasting.

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A nurse in a mental health facility is caring for an adolescent who is newly admitted for an overdose of prescription pain medication.The client has prescriptions for an anxiolytic and an SSRI antidepressant.Which of the following precautions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer sertraline 50 mg PO once daily to a client who has depressive disorder. Available is sertraline oral solution 20 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2.5"]

Explanation

A nurse is participating in a community program about eating disorders.Which of the following information about bulimia nervosa should the nurse include in the presentation?

Correct Answer is B

Explanation

A client is becoming increasingly agitated, anxious, and tense.The nurse notes a clenched jaw and a change in the pitch of the client's voice.Which of the following interventions should the nurse implement first?

A nurse is caring for a client who becomes extremely agitated and asks if they can go to a separate room to be alone for an hour.The nurse should document which of the following de-escalation techniques in the client's medical record?

A nurse is caring for a 65-year-old male client in the emergency department (ED). Exhibits Which of the following interventions should the nurse include in the client's care? Select the 3 interventions the nurse should implement.

A nurse is reinforcing teaching with a newly licensed nurse about client confidentiality.Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A nurse is caring for a client who has a new diagnosis of cancer.The client states, "I can't think about my health until after my son is married next week.”. The nurse should identify the client's statement as an indication of which of the following maladaptive defense mechanisms?

A nurse is collecting data for a health history from a client who has antisocial personality disorder.Which of the following clinical findings is associated with this disorder?

A nurse is reinforcing behavior management techniques with the parent of a school-age child who has conduct disorder.Which of the following statements by the parent indicates an understanding of the redirection technique?

A nurse is contributing to the plan of care for a client who is to start therapy with fluoxetine.Which of the following is an expected outcome for this client?

A nurse in a mental health facility is caring for an adolescent who is newly admitted for an overdose of prescription pain medication.
The client has prescriptions for an anxiolytic and an SSRI antidepressant.
Which of the following precautions should the nurse take?