A nurse is caring for a client on an acute mental health unit.
Complete the following sentence by using the list of options.
The nurse should delegate the client's
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Daily weights: This task can be delegated to ensure consistent monitoring of the client's weight, which is crucial for assessing nutritional status and progress.
Observing meals: The nurse should focus on observing meals to ensure the client is eating properly and not engaging in behaviors such as pocketing food or spitting it out, which are common in clients with eating disorders.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Weight gain is a common side effect but does not require immediate reporting unless significant.
B. Shuffling gait is a sign of extrapyramidal symptoms (EPS), which can lead to tardive dyskinesia and requires prompt evaluation.
C. Dry mouth is a common side effect and can be managed with increased fluid intake or sugar-free candy.
D. Sedation is a common side effect but is not typically a reason to contact the provider unless it significantly impacts daily activities.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"}}
Explanation
“It is important that our child avoids placing anything inside the cast.”: This reflects an understanding. Inserting objects inside the cast can cause injury, skin breakdown, or infection, and should be avoided.
“We should notify the provider if the cast becomes loose over time.”: This reflects an understanding. A loose cast could lead to inadequate immobilization or further injury. Parents should report any loosening to the provider.
“We should prop the casted arm on pillows for the next 24 hours.”: This needs reinforcement. The cast should be elevated to reduce swelling, but it should not be kept elevated for 24 hours continuously. Parents should be taught to elevate the arm in intervals and monitor for signs of increased swelling or discomfort.
“We need to be very careful about how we handle the cast for the first 2 days while it dries.”: This reflects an understanding. It is important to handle the cast with care while it is drying to prevent deformities or indentations in the cast that could interfere with proper healing.
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