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 C

Explanation

C. Excessive sweating, a low sodium diet, and diarrhea can all lead to dehydration and electrolyte imbalances, particularly low sodium levels (hyponatremia). Lithium is primarily excreted by the kidneys, and its clearance is influenced by sodium levels in the body. Decreased sodium levels can impair lithium excretion, leading to increased lithium levels and potential toxicity.

A. Green tea contains caffeine, which is a diuretic and can increase urine output. Since lithium is excreted primarily by the kidneys, increased urine output can lead to decreased lithium levels in the body and potentially subtherapeutic levels.

B. While exercise can increase sweat production, leading to fluid and electrolyte loss, moderate exercise alone is unlikely to cause significant lithium toxicity.

D. Increasing sodium intake can potentially enhance lithium excretion by promoting its renal clearance not accumulation and toxicity.

A. The abused person is personally and financially dependent on the abuser. B. The abused person has low self-esteem and defines their success as a person by the ability to make the relationship work. C. The abused person uses alcohol or illegal drugs in the home. D. The abused person believes that they are unable to function without their partner. E. The abused person is afraid that the abuser will kill them if they try to leave.

Correct Answer is ["A","B","D","E"]

Explanation

A. Financial dependence can create barriers to leaving the relationship, especially if the abused person lacks the means to support themselves or their dependents independently.
B. Low self-esteem and a sense of self-worth tied to the relationship can lead individuals to tolerate abuse in hopes of salvaging the relationship or out of fear of being alone.
D. Fear of independence or uncertainty about managing life without the abuser's presence can deter individuals from leaving the relationship.
E. Fear of retaliation or harm from the abuser, including threats of violence or death, can keep individuals trapped in the relationship out of concern for their safety.
C. While substance abuse may contribute to the complexity of an abusive relationship, it is not necessarily a reason why abused persons remain with an abusive partner. Substance abuse can exacerbate existing issues within the relationship but may not be the primary reason for staying.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has been hospitalized for treatment of bipolar disorder and will be discharged with a prescription for lithium. The nurse's discharge teaching should include information cautioning against which of the following factors that may cause lithium toxicity?

Correct Answer is C

Explanation

Which are common reasons why abused persons remain with an abusive partner? Select all that apply.

Correct Answer is ["A","B","D","E"]

Explanation

A nurse in a hospital is caring for a client who has agoraphobia. Which of the following statements by the client indicates understanding of the goals of treatment?

A coherent older client has been financially and emotionally abused by their adult children for the past several years but has not reported the abuse to anyone. Which is the most likely reason that the client has not reported the abuse?

A nurse is creating a plan of care for a client who is experiencing mania. Which of the following interventions should the nurse include in the plan? (Select all that apply.)

A nurse is assessing a client who has schizophrenia and has been on long-term treatment with chlorpromazine. He notes the client is experiencing some involuntary movements of the tongue and face. The nurse should suspect the client has developed which of the following adverse effects?

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?

A nurse is caring for a hospitalized client who tells lies about other clients. The other clients on the unit frequently complain to the nursing staff about the client's disruptive behaviors. Which of the following initial actions should the nurse take?

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?