A nurse is caring for a client in an outpatient clinic.

Exhibits

Select the 3 interventions the nurse should plan to take.

Encourage the client to think positive thoughts.

Assist the client in distinguishing between anxiety and physical manifestations.

Provide relief measures for manifestations the client is experiencing.

Inform the client that nothing is medically wrong with them.

Suggest to the client's provider that multiple tests need to be performed.

Perform a lengthy exam of client's condition.

Answer and Explanation

Correct Answer : B,C,E

A. Encourage the client to think positive thoughts. While promoting positive thinking can be helpful, this approach may oversimplify the client's experience and does not address their anxiety or physical symptoms effectively.
B. Assist the client in distinguishing between anxiety and physical manifestations. This intervention is crucial as it helps the client understand the connection between their anxiety and physical symptoms. It can empower the client to better manage their feelings and reduce their fixation on health issues.
C. Provide relief measures for manifestations the client is experiencing. Addressing the client's physical symptoms, such as anxiety and stomach discomfort, is important for their overall well-being and can improve their quality of life.
D. Inform the client that nothing is medically wrong with them. This statement may dismiss the client's concerns and could lead to feelings of frustration or invalidation. It is important to listen to the client’s experiences without minimizing them.
E. Suggest to the client's provider that multiple tests need to be performed. Given the client's report of ongoing symptoms and concerns about their health, it is appropriate to recommend further evaluation to rule out any underlying medical issues. This ensures that the client feels heard and their concerns are taken seriously.
F. Perform a lengthy exam of the client's condition. Conducting a lengthy exam may not be necessary at this stage, especially in an outpatient setting. Instead, focusing on understanding the client's experience and addressing their concerns is more beneficial.

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Correct Answer is B

Explanation

A. Fever and fluctuating blood pressure. While lithium toxicity can cause various systemic symptoms, fever and fluctuating blood pressure are not specifically indicative of lithium toxicity and may suggest other medical conditions.
B. Blurred vision and jerking motor movements. A serum lithium level of 1.6 mEq/L indicates toxicity, and common manifestations of lithium toxicity include neurological symptoms such as blurred vision and involuntary movements, including tremors or jerking.
C. Lip smacking and tongue thrusting. These symptoms are more characteristic of tardive dyskinesia or other extrapyramidal symptoms related to antipsychotic medications rather than lithium toxicity.
D. GI discomfort and poor coordination. While gastrointestinal discomfort can occur with lithium toxicity, poor coordination is not as specific as the neurological symptoms like blurred vision and jerking movements. The latter are more closely associated with higher lithium levels.

A. "Smoking during pregnancy can place the child at an increased risk for developing anger and aggression." B. "Clients who live in areas of high pollution are at an increased risk for developing anger and a d aggression." C. "Families who have financial hardships are at an increased risk for developing anger and aggression." D. "Clients who live in areas of high crime are at an increased risk for developing anger and aggression." E. "Clients who live in suburban areas are at an increased risk for developing anger and aggression." F. "Families who live in low-income housing are at an increased risk for developing anger and aggression."

Correct Answer is ["A","B","C","D","F"]

Explanation

A. "Smoking during pregnancy can place the child at an increased risk for developing anger and aggression." This statement reflects an understanding of how prenatal exposure to harmful substances can affect a child's development and increase the risk of aggressive behaviors later in life.
B. "Clients who live in areas of high pollution are at an increased risk for developing anger and aggression." Research indicates that environmental factors, including pollution, can have negative effects on mental health and behavior, potentially leading to increased aggression.
C. "Families who have financial hardships are at an increased risk for developing anger and aggression." Financial stress can contribute to increased tension and conflict within families, which can lead to higher levels of aggression.
D. "Clients who live in areas of high crime are at an increased risk for developing anger and aggression." Living in high-crime areas can create a sense of fear and instability, potentially leading to aggressive behaviors as a coping mechanism or a learned response to the environment.
E. "Clients who live in suburban areas are at an increased risk for developing anger and aggression." This statement does not accurately reflect evidence-based risk factors for aggression, as suburban areas are not generally associated with higher levels of aggression compared to urban or high-crime areas.
F. "Families who live in low-income housing are at an increased risk for developing anger and aggression." Economic stressors associated with low-income housing can lead to increased conflict and aggression within families, making this statement valid.

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A nurse is caring for a client in an outpatient clinic. Exhibits Select the 3 interventions the nurse should plan to take.

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing laboratory results for a client and notes a serum lithium level of 1.6 mEq/L. Which of the following manifestations should the nurse expect the client to report?

Correct Answer is B

Explanation

Correct Answer is ["A","B","C","D","F"]

Explanation

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A nurse is caring for a client in an outpatient clinic.

Exhibits

Select the 3 interventions the nurse should plan to take.