A nurse is caring for a client in the emergency department (ED).

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 []

Alcohol withdrawal syndrome refers to the collection of symptoms that occur when individuals who are dependent on alcohol abruptly reduce or stop their alcohol intake.

Benzodiazepines, such as diazepam or lorazepam, are commonly used to manage symptoms such as anxiety, tremors, and seizures.

Providing a safe environment also ensures that the client does not involve in self-harming activities due to hallucinations.

Alcohol withdrawal syndrome is associated with an increased risk of seizures, particularly within the first 48 hours after cessation of alcohol consumption. Seizures can range from mild to severe and may be life-threatening if not promptly managed.

Chronic alcohol abuse can lead to dehydration and electrolyte imbalances due to increased urinary output, decreased fluid intake, and poor nutrition. Additionally, alcohol withdrawal itself can exacerbate fluid and electrolyte disturbances due to vomiting, diarrhea, diaphoresis, and increased metabolic demand.

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Correct Answer is B

Explanation

B. Women with a history of depression, particularly those with a previous episode of postpartum depression, are at increased risk of experiencing postpartum depression after childbirth. Other risk factors include a family history of depression, stressful life events during pregnancy or after childbirth, lack of social support, and hormonal fluctuations.

A. While some women with postpartum depression may experience thoughts of harming themselves or their infant, it is not the most common manifestation.

C. Postpartum depression typically begins within the first few weeks to months after delivery. The onset of symptoms can vary from woman to woman, but they commonly develop within the first three months postpartum.

D. Postpartum psychosis is a psychiatric emergency characterized by symptoms such as hallucinations, delusions, disorganized thinking, and severe mood disturbances.

A. A child who uses the call light frequently B. A child whose parents answer questions for the child C. A child who has a BMI indicating obesity D. A child who has frequent visitors

Correct Answer is B

Explanation

B. This behavior may be concerning if it indicates a lack of autonomy or control over one's own communication. It could suggest overprotective or controlling behavior by the parents, which may be indicative of emotional abuse or neglect.

A. Frequent use of the call light may indicate a need for assistance or discomfort but does not necessarily indicate abuse. It could be related to the child's medical condition, anxiety, or other factors.

C. Childhood obesity itself is not necessarily indicative of abuse. It can result from a variety of factors, including genetics, dietary habits, and lifestyle factors.

D. Frequent visitors alone do not necessarily indicate abuse. However, it's important to consider the nature of the visitors' relationship with the child and whether they may pose a risk of harm.

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Naxlex Comprehensive Predictor Exams

A nurse is discussing postpartum depression with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of this condition?

Correct Answer is B

Explanation

A nurse is providing care to children on a general pediatric unit. Which of the following children should the nurse identify as a potential victim of abuse?

Correct Answer is B

Explanation

A nurse is admitting a client who has experienced a weight loss of 11 kg (25 lb) in the past 3 months. The client weighs 40 kg (88 lb) and believes she is fat. Which of the following aspects of care should the nurse consider the first priority for this client?

A nurse is planning care for a client who is in the manic phase of bipolar disorder. Which of the following interventions should the nurse include in the client's plan of care?

A nurse is providing teaching to a client who has schizophrenia and is to begin taking haloperidol. Which of the following information should the nurse include in the teaching?

Which behavior would first alert the school nurse or teacher to suspect sexual abuse in a 7-year- old child?

The client with schizophrenia believes the student nurses are there to spy on the clients. The client is suffering from which of the following symptoms?

A client experiences panic attacks when confronted with riding in elevators. The therapist is teaching the client ways to relax while incrementally exposing the client to getting on an elevator. This technique is called which of the following?

A nurse is caring for a client who has major depressive disorder and attempted suicide. The client tells the nurse. "I should have died because I am totally worthless." Which of the following responses should the nurse make?

A client is seeking treatment for a specific phobia. The nurse in the anxiety disorders clinic documents that the client's anxiety is related to exposure to the phobic object. Which is a realistic outcome for anxiety self-control in this situation?