The nurse continues caring for the client.

Exhibits

Complete the following sentence by using the lists of options.

The nurse should
dropdown
due to the client’s
dropdown
.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}

Rationale for correct choice:

Clarify the antibiotic prescription with the provider: The client has a known penicillin allergy, and ceftriaxone is a cephalosporin, which may cross-react with penicillin. The nurse should clarify this prescription to prevent a potential allergic reaction.
Penicillin allergy: Due to the client's penicillin allergy, it’s essential to ensure that no antibiotics containing penicillin or related compounds are administered. Ceftriaxone should be verified with the provider to avoid causing an allergic reaction.

Rationale for incorrect choices:

Perform medication reconciliation: While important, medication reconciliation is not as urgent as clarifying the antibiotic prescription to avoid a potential allergic reaction to ceftriaxone.
Request a prescription for doxycycline: Doxycycline is not needed in this situation, as the prescribed antibiotics are appropriate for treating common STIs following sexual assault. The client is also allergic to doxycycline.
Potential HIV exposure: HIV post-exposure prophylaxis (PEP) should be considered, but the priority here is to clarify the antibiotics. PEP can be addressed later with informed consent and appropriate protocols.
Need for prophylaxis for human papillomavirus (HPV): HPV prophylaxis is not part of standard post-sexual assault care. Focus should be on preventing STIs, pregnancy, and HIV rather than HPV at this stage.

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Correct Answer is B

Explanation

A. The client is experiencing anisognosia: Anisognosia, a lack of awareness of one's own illness, is common in various psychiatric disorders, particularly in psychotic disorders like schizophrenia. While it is concerning, it does not typically require immediate reporting.

B. The client is experiencing command hallucinations: Command hallucinations, where the client hears voices telling them to take harmful actions, pose a direct safety risk. These should be immediately reported to the provider for further evaluation and intervention.

C. The client is exhibiting concrete thinking: Concrete thinking is common in individuals with certain psychiatric conditions, such as schizophrenia or intellectual disabilities. While it limits abstract thought, it is not an immediate cause for alarm.

D. The client is exhibiting a blunted affect: A blunted affect, or reduced emotional expression, is a common symptom in various mental health disorders. It is important for diagnosis and treatment planning but is not an immediate emergency or urgent situation.

A. Institute consequences for deliberate behaviors. B. Encourage thought stopping techniques. C. Administer olanzapine D. Provide a stimulating environment.

Correct Answer is B

Explanation

A. Institute consequences for deliberate behaviors: While consequences can help manage behaviors, focusing on punishment alone is not the most effective approach for ADHD. Positive reinforcement is often more beneficial.
B. Encourage thought stopping techniques: Thought-stopping techniques help children with ADHD manage impulsive behaviors and improve focus. They teach self-regulation by interrupting unwanted thoughts.
C. Administer olanzapine: Olanzapine is an a typical antipsychotic, not a treatment for ADHD. Stimulants like methylphenidate or amphetamines are typically used for ADHD management.
D. Provide a stimulating environment: A stimulating environment can worsen distractions for children with ADHD. A structured, quiet environment helps improve focus and reduces impulsivity.

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The nurse continues caring for the client. Exhibits Complete the following sentence by using the lists of options. The nurse should dropdowndue to the client’sdropdown.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an outpatient mental health clinic is assessing a new client. Which of the following findings should the nurse immediately report to the provider?

Correct Answer is B

Explanation

A nurse is developing a plan of care for a school-age child who has ADHD. Which of the following interventions should the nurse include in the plan?

Correct Answer is B

Explanation

A nurse is preparing to administer methylphenidate 25 mg PO to a school-age child who has ADHD. Available is methylphenidate 10 mg/5 mL liquid. How many ml should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero)

The nurse is continuing to care for the client in the emergency department (ED). Exhibits The nurse should monitor the client for which of the following based on the result of the client's laboratory test? Select all that apply.

A nurse is caring for a client who has severe depression and is scheduled to receive electroconvulsive therapy. The nurse should recognize that the client will receive succinylcholine to prevent which of the following adverse effects?

A nurse is teaching a client about the use of cognitive reframing for stress management. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a client who begins yelling and pacing around the room. Which of the following actions should the nurse take? (Select all that apply).

A nurse in an inpatient mental health facility is caring for a client who is showing indications of becoming violent. Which of the following actions should the nurse take?

A nurse is caring for a client who reports difficulty coping with several recent stressors. Which of the following responses should the nurse make?

A nurse is caring for a client who refuses to attend group therapy. Which of the following statements should the nurse make?

The nurse continues caring for the client.

Exhibits

Complete the following sentence by using the lists of options.

The nurse should
dropdown
due to the client’s
dropdown
.