A nurse is caring for a client who has schizophrenia.
The client's employer calls to discuss the client's condition.
Which of the following is the appropriate nursing action?

Consult the client.

Consult the client's family.

Contact the provider.

Contact the facility legal department.

Answer and Explanation

The Correct Answer is A

The correct answer is Choice A: Consult the client.

Choice A rationale:

Consulting the client is the most appropriate action to respect their privacy and autonomy. It ensures that the client has control over their health information and consents to any disclosures.

Choice B rationale:

Consulting the client's family is not appropriate without the client's explicit permission, as it may violate the client's right to confidentiality.

Choice C rationale:

Contacting the provider may be helpful for clinical guidance, but they cannot disclose the client's health information without the client's consent.

Choice D rationale:

Contacting the facility legal department would be necessary in specific legal situations, but the first step should be to involve the client in the decision-making process to respect their rights.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale:

(Statement then rationale) Choice A is the correct option. A blood pH of 7.60 indicates severe metabolic alkalosis, which is a life-threatening condition. Metabolic alkalosis can lead to various complications, including cardiac arrhythmias, muscle weakness, and even seizures. Immediate intervention is required to address the underlying cause and correct the pH imbalance. The nurse should initiate treatments to restore the acid-base balance promptly.

Choice B rationale:

(Statement then rationale) Choice B is not the correct option. While a BUN level of 21 mg/dL is above the normal range, it alone does not require immediate intervention. Elevated BUN can be caused by various factors and may not be immediately life-threatening. It is important to assess the client's overall clinical condition and consider other lab values to make a comprehensive assessment.

Choice C rationale:

(Statement then rationale) Choice C is not the correct option. +2 edema of the lower extremities, while indicating fluid retention, is not an immediate life-threatening condition. Edema should be assessed and addressed, but it does not require emergency intervention as much as a severely altered blood pH does.

Choice D rationale:

(Statement then rationale) Choice D is also not the correct answer. Lanugo covering the body is a physical manifestation often seen in clients with anorexia nervosa and indicates malnutrition. While it is concerning and requires attention, it is not an acute, life-threatening issue. Nutritional rehabilitation and support are needed, but immediate intervention is necessary for the severe metabolic alkalosis indicated by a blood pH of 7.60. Now, let's proceed to the next question.

A. Hypothyroidism. B. Crohn's disease. C. Seizure disorder. D. Asthma.

Correct Answer is B

Explanation

Choice A rationale:

Hypothyroidism is not a contraindication for aripiprazole therapy. Aripiprazole is primarily used to treat conditions like schizophrenia and bipolar disorder and does not directly affect thyroid function.

Choice B rationale:

Crohn's disease is a contraindication for aripiprazole therapy. Aripiprazole has been associated with an increased risk of gastrointestinal adverse effects, including nausea, vomiting, and constipation. In individuals with Crohn's disease, these symptoms may exacerbate the condition or lead to complications.

Choice C rationale:

Seizure disorder is not a contraindication for aripiprazole therapy. Aripiprazole has a relatively lower risk of causing seizures compared to some other antipsychotic medications. However, caution is still advised when using aripiprazole in individuals with a seizure disorder.

Choice D rationale:

Asthma is not a contraindication for aripiprazole therapy. Aripiprazole is not known to exacerbate asthma symptoms. It is important to monitor and manage any adverse effects in patients with asthma, but it is not a direct contraindication.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who has schizophrenia. The client's employer calls to discuss the client's condition. Which of the following is the appropriate nursing action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has anorexia nervosa.Which of the following findings requires immediate intervention by the nurse?

Correct Answer is A

Explanation

A nurse is reviewing the medical record of a client who is to begin taking aripiprazole.The nurse should identify that which of the following findings is a contraindication for aripiprazole therapy?

Correct Answer is B

Explanation

A nurse is creating a plan of care for a client who has major depressive disorder.Which of the following interventions should the nurse include in the plan?

A nurse is assessing a client who recently experienced the loss of their partner.Which of the following questions is the priority for the nurse to ask during this situational crisis?

A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation.Which of the following assessment findings in the client's history should the nurse report to the provider?

A nurse is reviewing the medication administration record of a client who has major depressive disorder and a new prescription for selegiline.The nurse should recognize that which of the following client medications is contraindicated when taken with selegiline?

A nurse is caring for a client who has schizophrenia and is taking clozapine. Which of the following findings is the priority for the nurse to report to the provider?

A nurse is developing a behavioral contract with a client who has antisocial personality disorder.Which of the following client goals should the nurse include in the contract?

A nurse in a long-term care facility is caring for a client.The nurse should identify that which of the following conditions places the client at an increased risk for developing delirium?

A nurse is caring for a client in the emergency department who states that she was beaten and sexually assaulted by her partner.After a rapid assessment, which of the following actions should the nurse plan to take next?

A nurse is caring for a client who has schizophrenia.
The client's employer calls to discuss the client's condition.
Which of the following is the appropriate nursing action?