Laboratory results reveal elevated levels of prolactin in a client diagnosed with Schizophrenia. Which symptoms should the nurse expect to observe? Select all that apply.

Galactorrhea

Gynecomastia

Social withdrawal

Apathy

Anhedonia

Answer and Explanation

Correct Answer : A,B

Choice A reason: Elevated prolactin levels can lead to galactorrhea, which is the production of breast milk in individuals who are not breastfeeding.

Choice B reason: Gynecomastia, the enlargement of breast tissue in males, can also be a symptom associated with high prolactin levels.

Choice C reason: Social withdrawal is a symptom of Schizophrenia but is not directly related to elevated prolactin levels.

Choice D reason: Apathy can be a symptom of Schizophrenia but is not directly related to elevated prolactin levels.

Choice E reason: Anhedonia is a symptom of Schizophrenia but is not directly related to elevated prolactin levels.

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

Explanation

Choice A Reason:

Checking the client's pupil reactivity is important because alcohol intoxication can affect the nervous system, which may be reflected in changes in pupil size and reactivity to light. Normal pupil size ranges from about 2 to 4 mm in diameter in bright light to 4 to 8 mm in the dark. Pupils that do not respond to light could indicate a neurological deficit that requires immediate attention.

Choice B Reason:

Performing a developmental screening test is not typically indicated for acute alcohol intoxication management. Developmental screenings are generally used to assess children for appropriate growth and developmental milestones, not for adults in an emergency setting due to intoxication.

Choice C Reason:

Preparing the client for a CT scan may be necessary if there is a suspicion of head trauma or intracranial bleeding, which can occur with falls or injuries associated with intoxication. A CT scan can help identify any urgent issues that need to be addressed.

Choice D Reason:

Obtaining a urine specimen can be useful for several reasons. It can be tested for the presence of alcohol, other substances, or toxins. Additionally, it can provide information about the client's overall health and kidney function.

Choice E Reason:

Monitoring the client’s vital signs frequently is crucial. Alcohol intoxication can lead to vital sign abnormalities such as hypotension, tachycardia, or respiratory depression. Normal ranges for vital signs vary but generally include a blood pressure of 90/60 mmHg to 120/80 mmHg, a heart rate of 60 to 100 beats per minute, and a respiratory rate of 12 to 20 breaths per minute.

A. "I will let my therapist know if I think suicidal thoughts." B. "I have learned that my family can be a support system." C. "Drinking strong coffee really helps me combat my fatigue." D. "Nicotine makes my heart race, so I need to stop smoking."

Correct Answer is C

Explanation

Choice A reason: Informing a therapist about suicidal thoughts is a positive step and indicates good understanding.

Choice B reason: Recognizing the family as a support system shows appropriate understanding of social support in managing somatization disorder.

Choice C reason: This statement indicates a misunderstanding, as caffeine may temporarily alleviate fatigue but does not address the underlying issues of somatization disorder.

Choice D reason: Understanding the need to stop smoking due to its effects on the heart is a correct understanding of managing physical symptoms.

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Laboratory results reveal elevated levels of prolactin in a client diagnosed with Schizophrenia. Which symptoms should the nurse expect to observe? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is creating a plan of care for a client experiencing alcohol intoxication. Which of the following interventions should the nurse plan to include? Select all that apply.

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

Explanation

The nurse is educating a client about their diagnosis of somatization disorder prior to the termination phase of the nurse-client relationship. Which statement by the client indicates a need for additional teaching?

Correct Answer is C

Explanation

A nurse is assessing a client who has illness anxiety disorder. Which of the following findings should the nurse expect?

A client is seeking relief for undiagnosed pain. There is no history of significant physical illness or injury. The history reveals that the client was laid off 4 months ago from a job. Which statement made by the client would most strongly suggest a somatoform disorder?

A college student has been diagnosed with Generalized Anxiety Disorder (GAD). Which of the following symptoms should a campus nurse expect this client to exhibit? Select all that apply.

A client diagnosed with bulimia nervosa has been attending a mental health clinic for several months. Which factor should the nurse identify as an appropriate indicator of a positive client behavioral change?

A client diagnosed with Schizophrenia is slow to respond and appears to be listening to unseen others. Which medication should the nurse expect a physician to order to address this type of symptom?

The nurse is working to develop a therapeutic nurse-client relationship with a client diagnosed with paranoid personality disorder. Which techniques will the nurse use to foster trust? Select all that apply.