A nurse is reinforcing teaching with a female client who is prescribed chlorpromazine.
Which of the following statements by the client indicates an understanding of the teaching?

“I will contact my provider if I have difficulty urinating.”

“I might notice an increased frequency of my menstrual cycle.”

“These medications might cause breast tissue to atrophy.”

“I am at a decreased risk for infection while taking these medications.”

Answer and Explanation

The Correct Answer is A

Choice A rationale:

I will contact my provider if I have difficulty urinating.

Chlorpromazine has anticholinergic effects, which can cause urinary retention. This means the medication can interfere with the normal function of the bladder, making it difficult to empty completely. Difficulty urinating can lead to bladder distention, urinary tract infections, and even kidney damage if left untreated.

It's crucial for the client to recognize this potential side effect and seek medical attention promptly if it occurs. Early intervention can help prevent complications and ensure proper bladder management.

By understanding this potential side effect and the importance of seeking help, the client demonstrates a grasp of the teaching provided.

Choice B rationale:

I might notice an increased frequency of my menstrual cycle.

Chlorpromazine does not typically affect menstrual frequency. While some antipsychotic medications can cause menstrual irregularities, chlorpromazine is not commonly associated with this effect.

If a client experiences changes in their menstrual cycle while taking chlorpromazine, it's important to discuss it with their healthcare provider to rule out other potential causes.

Choice C rationale:

These medications might cause breast tissue to atrophy.

Chlorpromazine is not known to cause breast atrophy. Breast atrophy, or shrinkage of breast tissue, can occur due to hormonal changes, aging, or certain medical conditions.

However, it's not a common side effect of chlorpromazine.

Choice D rationale:

I am at a decreased risk for infection while taking these medications.

Chlorpromazine does not decrease the risk of infection. In fact, it may slightly increase the risk of infection due to its potential to suppress the immune system.

It's essential for clients taking chlorpromazine to practice good hygiene and infection prevention measures to protect themselves from illness.

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Correct Answer is C

Explanation

The correct answer is Choice C.

Choice A rationale: While acknowledging the client's experience is important, this statement does not immediately address the content of the hallucinations, which could be crucial for assessing the client's safety.

Choice B rationale: Asking how often the client hears the voices is useful information for later, but it is not the immediate priority when first addressing auditory hallucinations.

Choice C rationale: Asking what the voices are telling the client is the priority. This helps the nurse assess if the hallucinations include commands or harmful content, which is essential for determining the client's immediate safety and risk of self-harm or harm to others.

Choice D rationale: Explaining that the voices are part of the client's illness can be useful for long-term understanding, but it does not address the immediate need to assess the content of the hallucinations.

A. Establish rapport with the client. B. Avoid making eye contact when addressing the client. C. Speak to the client using a high-pitched voice. D. Validate the client’s feelings and identify the cause of the anxiety.

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

Explanation

The correct answer is choice A and D.

Choice A rationale:

Establishing rapport with the client is a fundamental nursing action to create a trusting relationship, which is especially important when a client is experiencing acute anxiety. A strong rapport can help the client feel more secure and supported, making it easier to manage their anxiety.

Choice B rationale:

Making eye contact is generally considered a non-threatening and effective way to communicate care and attention. Avoiding eye contact could make the client feel isolated or ignored. Therefore, this is not a recommended action when attending to a client with acute anxiety.

Choice C rationale:

Using a high-pitched voice can be perceived as alarming or stressful, which may exacerbate the client’s anxiety. It is important to use a calm, soothing tone when speaking to someone who is anxious.

Choice D rationale:

Validating the client’s feelings and identifying the cause of the anxiety are therapeutic techniques that acknowledge the client’s experience and can help in addressing the underlying issues contributing to the anxiety. This can be a crucial step in helping the client to cope with and overcome their anxiety.

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A nurse is reinforcing teaching with a female client who is prescribed chlorpromazine. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing auditory hallucinations. What should the nurse say first?

Correct Answer is C

Explanation

A nurse is attending to a client experiencing acute anxiety. Which of the following actions should the nurse undertake? (Select all that apply.)

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

Explanation

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A nurse is discussing the possible physical effects of alcohol withdrawal with a newly licensed nurse. Which of the following effects should the nurse include? (Select all that apply.)

A nurse is reinforcing teaching with a female client who is prescribed chlorpromazine. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is conversing with a client diagnosed with schizophrenia. Suddenly, the client expresses fear, stating, “I’m scared. Can you hear that? The voices are instructing me to do awful things.” Which of the following responses from the nurse would be suitable?

A nurse is reinforcing teaching with a female client who is prescribed chlorpromazine.
Which of the following statements by the client indicates an understanding of the teaching?