A nurse is reviewing the medical records of a group of clients. For which of the following clients should the nurse implement seizure precautions?
A client who is experiencing withdrawal from oxycodone.
A client who is experiencing withdrawal from diazepam.
A client who has a low lithium level.
A client who has a low imipramine level.
The Correct Answer is B
A reason: A client who is experiencing withdrawal from oxycodone. While withdrawal from oxycodone can cause significant symptoms, it is not typically associated with seizures. Other withdrawal symptoms, such as anxiety and agitation, are more common.
B reason: A client who is experiencing withdrawal from diazepam. Withdrawal from diazepam, a benzodiazepine, can lead to seizures, especially if the drug is stopped abruptly. Seizure precautions are necessary to manage this risk and ensure the client's safety.
C reason: A client who has a low lithium level. A low lithium level typically indicates subtherapeutic dosing rather than an immediate risk of seizures. Monitoring for mood symptoms is more relevant in this context.
D reason: A client who has a low imipramine level. Low levels of imipramine, an antidepressant, do not generally pose a risk for seizures. The focus should be on managing depressive symptoms and adjusting medication as needed.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A reason: A nurse did not clarify a client's prescription that was difficult to read, resulting in a medication error. This scenario describes negligence, an unintentional tort, where the nurse failed to act with the standard of care expected, leading to a medication error.
B reason: A nurse posted private information on social media about a client who has a substance use disorder. Posting private information without consent is an intentional tort, specifically a breach of confidentiality and invasion of privacy.
C reason: A nurse placed a client in mechanical restraints without obtaining a prescription, resulting in injury. This scenario describes an intentional tort, as the nurse intentionally restrained the client without proper authorization, leading to harm.
D reason: A nurse threatened a client with physical harm after the client became verbally abusive to staff members. Threatening a client with harm is an intentional tort, specifically assault, which involves an intentional act of creating apprehension of harmful contact.
Correct Answer is D
Explanation
A reason: Refer the client to a support group for survivors of suicide. While referring the client to a support group is important for long-term support, it is not the immediate priority in this acute moment of grief.
B reason: Offer to contact the client's family or support system. Offering to contact family or support systems is supportive but not the first priority. The nurse should first assess the client's immediate emotional and cognitive state.
C reason: Inform the client that feelings of guilt are often felt by survivors of suicide. Providing information about common feelings of guilt can be helpful, but the nurse should first understand the client's current state and their specific needs.
D reason: Determine the client's understanding of the suicide events. The first priority is to assess the client's understanding and emotional response to the news. This helps the nurse provide appropriate support and address any immediate misconceptions or distress.
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