A nurse is caring for a client in an emergency department.

Exhibits

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress

Answer and Explanation

The Correct Answer is []

Based on the provided nurses' notes, the client exhibits symptoms that may suggest a brief psychotic disorder, characterized by delusions, hallucinations, disorganized speech, or grossly disorganized or catatonic behavior. The client's history of similar episodes and family history could support this diagnosis. To assess the client's progress, the nurse should monitor the client's ability to care for themselves and assess any suicide risk due to the client's recent stressors and emotional state. Actions that could be beneficial include reducing external stimuli to prevent sensory overload and engaging with the client several times each day to establish trust, which can help alleviate anxiety and foster a therapeutic environment.

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Correct Answer is B

Explanation

A. Limiting intake of dairy products may not directly address stomatitis unless the client has an intolerance or allergy to dairy.
B. Using a soft-bristle toothbrush helps prevent trauma to the oral mucosa, which can exacerbate stomatitis. Gentle oral care with a soft toothbrush after meals helps maintain oral hygiene without causing further irritation.
C. Moistening lips with lemon-glycerin swabs may further irritate the oral mucosa due to the acidic nature of lemon.
D. Gargling with an alcohol-based mouthwash can exacerbate stomatitis and should be avoided due to its drying effect on oral tissues.

A. "I can re-use the condom one time after initial use." B. "I can store the condoms in the drawer of my nightstand." C. "I can use natural-skin condoms to prevent sexually transmitted infections." D. "I can use petroleum jelly as a lubricant with the condom."

Correct Answer is B

Explanation

A. Condoms are designed for single use only and should be disposed of after each use.
B. Storing condoms in a cool, dry place away from direct sunlight or heat sources (like a nightstand drawer) helps maintain their integrity and effectiveness.
C. Natural-skin condoms do not protect effectively against STIs as they are porous.

D. Petroleum jelly can degrade latex, reducing the effectiveness of the condom.

Water-based lubricants are recommended.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who is undergoing radiation therapy and has stomatitis. Which of the following responses by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is teaching a client about condom use. Which of the following client statements should the nurse Identify as an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is caring for a client who is experiencing status epilepticus. Which of the following medications should the nurse expect to administer?

A nurse is caring for a client who asks for information regarding organ donation. Which of the following responses should the nurse make?

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