The nurse is continuing to care for the patient in the emergency department.

Exhibits

Which findings should the nurse identify as potential complications of the client’s diagnostic results? Select all that apply.

Nausea and vomiting

Confusion

Tachycardia

Hypothermia

Amnesia

Respiratory depression

Answer and Explanation

Correct Answer : A,B,E,F

Choice A:
GHB (gamma-hydroxybutyric acid) is known to cause nausea and vomiting, especially at higher doses. These symptoms are common side effects of GHB ingestion and can be distressing for the patient.
Choice B:
Confusion is a significant complication associated with GHB use. GHB acts as a central nervous system depressant, leading to altered mental status and confusion. This can impair the patient’s ability to communicate effectively and understand their surroundings.
Choice C:
Tachycardia, or an abnormally fast heart rate, is not typically associated with GHB use. GHB tends to cause bradycardia (slowed heart rate) rather than tachycardia. Therefore, this option is not a correct answer.
Choice D:
Hypothermia, or abnormally low body temperature, is not a common complication of GHB use. GHB does not typically affect body temperature regulation in a way that would lead to hypothermia. Thus, this option is not a correct answer.
Choice E:
Amnesia is a well-documented effect of GHB, often referred to as the “date rape drug” due to its ability to cause memory loss1. This can result in the patient having no recollection of events that occurred while under the influence of the drug.
Choice F:
Respiratory depression is a severe and potentially life-threatening complication of GHB use. GHB can depress the central nervous system to the point where breathing becomes slow and shallow, which can lead to respiratory failure5. This is a critical concern in managing patients who have ingested GHB.

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Correct Answer is C

Explanation

Choice A reason:
While it is important for a social worker to be aware of a client's difficulty with remembering prescribed food restrictions, this information is more relevant to the dietary staff or a nutritionist who can assist with meal planning and education. However, if the memory issues are severe and impact the client's ability to live independently, then it would also be pertinent for the social worker.

Choice B reason:
Frustration with finding an activity to relieve restless energy may be relevant to a social worker if it pertains to the client's overall mental health and well-being. The social worker can collaborate with the healthcare team to find suitable activities or therapies that can help the client manage their energy levels.

Choice C reason:
The inability of the client to return home after discharge is critical information for a social worker. This directly impacts the client's need for support services, such as long-term care planning, home health services, or alternative living arrangements. The social worker plays a key role in coordinating these services and ensuring a smooth transition from the hospital to the next phase of care.

Choice D reason:
A request to talk to someone about changes in spiritual beliefs is also relevant to the social worker, as they can provide or arrange for spiritual support services. However, this is not as urgent as the need for housing or care planning, which has immediate practical implications for the client's discharge planning.

A. Clients cannot refuse to take prescribed medications. B. Clients have the right to the least restrictive environment. C. Clients cannot withdraw consent after signing an informed consent form. D. Clients maintain the right to an attorney. E. Clients continue to have the right to privacy and confidentiality.

Correct Answer is ["B","D","E"]

Explanation

Choice A reason:
Clients in mental health facilities generally have the right to refuse treatment, including prescribed medications, unless they are deemed incompetent to make decisions or pose an immediate danger to themselves or others. Forced medication is typically a last resort and requires legal and ethical considerations.

Choice B reason:
Clients have the right to the least restrictive environment necessary for their treatment. This means that they should not be subjected to more restrictive measures than are necessary for their safety and the safety of others. This principle is fundamental in mental health care to ensure that clients retain as much autonomy and freedom as possible.

Choice C reason:
Clients can withdraw consent after signing an informed consent form. Informed consent is an ongoing process, and clients have the right to change their minds about treatment at any time. This ensures that clients are always participating in their care voluntarily and with full understanding.

Choice D reason:
Clients maintain the right to an attorney. This right is crucial for protecting their legal interests, especially if they are involuntarily committed or if there are disputes about their treatment. Access to legal representation helps ensure that clients' rights are upheld.

Choice E reason:
Clients continue to have the right to privacy and confidentiality. This means that their personal and medical information must be protected and only shared with those directly involved in their care, unless the client gives permission or there is a legal requirement to disclose. Maintaining confidentiality is essential for building trust and ensuring that clients feel safe in sharing sensitive information.

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The nurse is continuing to care for the patient in the emergency department. Exhibits Which findings should the nurse identify as potential complications of the client’s diagnostic results? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing for an interprofessional meeting to discuss the plan of care for a client. Which of the following information should the nurse plan to communicate to a social worker?

Correct Answer is C

Explanation

A nurse is talking with a newly licensed nurse about client rights while admitted to a mental health facility. Which of the following information should the nurse include? (Select all that apply)

Correct Answer is ["B","D","E"]

Explanation

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A nurse is planning care for a client who has borderline personality disorder. Which of the following interventions should the nurse plan to include to assist the client with impaired social interactions with others?

A nurse is caring for a client who has right-sided hemiplegia following a recent stroke. Which of the following questions should the nurse ask to determine the client's ability to cope?

A nurse is caring for a client who has right-sided hemiplegia following a recent stroke. Which of the following questions should the nurse ask to determine the client's ability to cope?

A nurse is caring for a client who is receiving inpatient treatment for an eating disorder. The client states, "I just can't sleep soundly here because it's too noisy." Which of the following actions should the nurse take?

A nurse in a mental health facility is caring for a group of clients. After assessing the clients, which of the following clients requires an update to their plan of care to ensure client safety?

The nurse is continuing to care for the patient in the emergency department.

Exhibits

Which findings should the nurse identify as potential complications of the client’s diagnostic results? Select all that apply.