The nurse continues to care for the client.

Exhibits

Drag 1 condition and 1 client finding to fill in each blank in the following sentence.

The client is most likely experiencing
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as evidenced by the client's
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Answer and Explanation

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

Panic disorder: Typically presents with intense fear, chest pain, shortness of breath, dizziness, and a sense of doom. It is episodic, not sustained like mania, and does not include symptoms like euphoria, grandiosity, or hallucinations.
Catatonia: Involves motor immobility, stupor, rigidity, or excessive purposeless movement. While this client is very active, their activity is goal-directed but disorganized, consistent with mania, not catatonia.
Mania: Characterized by euphoric or irritable mood, increased energy, racing thoughts, pressured speech, poor judgment, impulsivity, and decreased need for sleep. The client displays grandiosity, impulsive spending, hyperactivity, pressured speech, insomnia, and hallucinations, all pointing to mania.
Major depressive disorder: Involves symptoms like anhedonia, depressed mood, fatigue, and decreased energy. This is inconsistent with the client's overactivity and euphoric behavior.
Delirium: Usually presents with acute confusion, fluctuating consciousness, and disorientation, often due to a medical condition or substance use. This client is consistently manic and does not show signs of fluctuating alertness or disorientation to time and person.
Anhedonia: Inability to feel pleasure, commonly seen in depression, not in mania.
Alogia: Poverty of speech or reduced speech output, often associated with schizophrenia, not consistent with this client’s pressured and loud speech.
Magical thinking: Believing that one's thoughts can influence reality, often seen in schizotypal personality disorder, not prominent here.
Euphoric mood: A classic symptom of mania, where the individual may feel overly joyful, energetic, and invincible, as reflected in the client's excessive confidence, impulsivity, and erratic behavior.
Hypervigilance: Commonly linked with anxiety disorders or PTSD, and not the most fitting descriptor for this client’s presentation.

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Correct Answer is D

Explanation

A. "Why are you eating seaweed soup?" This response is judgmental and dismissive of the client’s cultural practices. It can make the client feel misunderstood or disrespected.
B. "The hospital food is more nutritious for you." This statement is inaccurate and culturally insensitive, assuming that hospital food is superior without recognizing the nutritional and emotional value of traditional foods.
C. "Does the doctor know that you are eating that?" This implies unnecessary medical concern and may make the client feel like her personal choices require approval, which can be disempowering and disrespectful.
D. "Of course, I will heat that up for you." This response is supportive and culturally competent, respecting the client's traditions and preferences while promoting comfort and emotional well-being during the postpartum period.

A. Raise the head of the client's bed to a high-Fowler's position. B. Keep an abduction pillow between the client's legs. C. Elevate the client's affected leg on a pillow when in bed. D. Position the client's knees slightly higher than the hips when up in a chair.

Correct Answer is B

Explanation

A. Raise the head of the client's bed to a high-Fowler's position. A high-Fowler's position causes excessive hip flexion, which increases the risk of prosthetic dislocation after hip arthroplasty. Hip flexion should generally not exceed 90 degrees postoperatively.
B. Keep an abduction pillow between the client's legs. An abduction pillow maintains the leg in proper alignment and prevents internal rotation and adduction, which are common mechanisms of hip dislocation after surgery. It is a key intervention in protecting the surgical joint.
C. Elevate the client's affected leg on a pillow when in bed. Elevating the leg is appropriate for reducing swelling, but if not done correctly, it can cause improper hip positioning. It does not prevent dislocation unless combined with other alignment strategies.
D. Position the client's knees slightly higher than the hips when up in a chair. This position promotes hip flexion greater than 90 degrees, which increases the risk of dislocating the hip prosthesis. The hips should remain higher than the knees to prevent excessive flexion.

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The nurse continues to care for the client. Exhibits Drag 1 condition and 1 client finding to fill in each blank in the following sentence. The client is most likely experiencing dropdownas evidenced by the client'sdropdown

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 24 hr postpartum and is breastfeeding her newborn. The client asks the nurse to warm up seaweed soup that the client's partner brought for her. Which of the following responses should the nurse make?

Correct Answer is D

Explanation

A nurse is caring for a client who is postoperative following total hip arthroplasty. Which of the following actions should the nurse take to prevent dislocation of the prosthesis?

Correct Answer is B

Explanation

A nurse in a mental health facility is caring for a client who is experiencing a panic level of anxiety. Which of the following actions should the nurse take?

A nurse is preparing a client for transfer to a long-term rehabilitation facility following a below-the-knee amputation of the right leg. Which of the following actions should the nurse take to protect the client's confidentiality?

The nurse is continuing to care for the client. Exhibits The nurse is providing teaching about lithium to the client and the client's adult child. Select the 3 statements the nurse should include.

A nurse is monitoring a client who is 36 hrs postoperative following gastric banding. Which of the following findings should the nurse expect?

A nurse is reviewing admission prescriptions for a group of clients. Which of the following prescriptions should the nurse identify as complete?

A nurse is caring for a client. Exhibits The nurse is assessing the client. Select the 4 findings that require immediate follow-up.

A nurse is reviewing a client's cardiac rhythm strips and notes a constant P-R interval of 0.35 seconds. Which of the following dysrhythmias is the client displaying?

A nurse is performing a skin assessment on a client who has dark skin. Which of the following locations on the client's body should the nurse observe to assess for cyanosis?

The nurse continues to care for the client.

Exhibits

Drag 1 condition and 1 client finding to fill in each blank in the following sentence.

The client is most likely experiencing
dropdown
as evidenced by the client's
dropdown