A nurse is caring for a client who has schizophrenia.

Exhibits

Select the "3" findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia.

Blood pressure

Lack of motivation

Change in behavior

Lack of energy

Withdrawn

Answer and Explanation

Correct Answer : B,D,E

A. Blood pressure: A blood pressure reading (especially an isolated one) is not a psychiatric symptom and not related to schizophrenia symptomatology unless associated with medication side effects.
B. Lack of motivation: Also known as avolition, this is a hallmark negative symptom—reflected in the client's refusal to eat, drink, or attend therapy.
C. Change in behavior: This is too vague. While behavior changes are characteristic of schizophrenia, they could reflect either positive or negative symptoms and require clarification.
D. Lack of energy: Also referred to as anergia, it’s seen in the client's desire to sleep instead of engaging in activities and their slowed movements.
E. Withdrawn: Social withdrawal and isolation are common negative symptoms. The client avoids conversation and stays in bed, demonstrating a diminished interest in social interaction.

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Correct Answer is C

Explanation

A. Keep the client NPO is not appropriate. Keeping the client NPO (nothing by mouth) is generally not a standard intervention for hyperthyroidism, unless the client requires preparation for a specific procedure or is experiencing symptoms that indicate a need for gastrointestinal rest.
B. Observe the client carefully for signs of hypocalcemia is not the priority. While hypocalcemia can occur in some thyroid conditions, it is not directly associated with hyperthyroidism or the risk of thyroid crisis (thyroid storm).
C. Provide a quiet, low-stimulus environment is correct. A thyroid crisis (thyroid storm) is a life-threatening emergency characterized by severe hyperthyroidism. It can be triggered by stress, infection, or other factors. To prevent a crisis, it is essential to reduce stimulation and provide a calm, low-stress environment. This helps to minimize the risk of exacerbating the client's condition.
D. Administer aspirin as prescribed for any sign of hyperthermia is not appropriate. Aspirin should not be used in hyperthyroidism, as it can displace thyroid hormones from binding proteins and worsen symptoms. Acetaminophen or other antipyretics are preferred for fever reduction in hyperthyroid conditions.

A. Dextrose 5% in 0.45% sodium chloride B. Oral hypoglycemic medications C. Glucocorticoid medications D. 0.9% sodium chloride IV bolus

Correct Answer is D

Explanation

A. Dextrose 5% in 0.45% sodium chloride is incorrect. Dextrose is not typically given in the initial management of diabetic ketoacidosis (DKA) because it can elevate blood glucose levels further. The primary goal in treating DKA is to lower the blood glucose level and correct the acidosis, not to add glucose to the system at this stage.
B. Oral hypoglycemic medications are not appropriate in DKA. The client is in a state of severe hyperglycemia and acidosis, and oral medications are ineffective for rapid glucose control in this emergency. Insulin is the treatment of choice.
C. Glucocorticoid medications are not indicated in DKA treatment. Glucocorticoids could actually worsen hyperglycemia, and they are not used to treat DKA.
D. 0.9% sodium chloride IV bolus is correct. In DKA, dehydration is common due to osmotic diuresis, and the priority treatment is to restore fluid balance. An IV bolus of normal saline (0.9% sodium chloride) is the first step to rehydrate the client and improve circulation. Once hydration begins, insulin therapy is typically initiated to reduce blood glucose and address the acidosis.

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A nurse is caring for a client who has schizophrenia. Exhibits Select the "3" findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider?

Correct Answer is D

Explanation

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A nurse is caring for a client who has schizophrenia.

Exhibits

Select the "3" findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia.