Which predisposing factor obtained during the nursing assessment would cause the nurse to consider a child to be at risk for the development of a psychiatric disorder?

Marital harmony in the household

Being raised by multiple caregivers

Regular prenatal care for the mother

Developmental milestones achieved on schedule

Answer and Explanation

The Correct Answer is B

B. Children who are raised by multiple caregivers may experience challenges in forming secure attachments, receiving consistent discipline and support, and maintaining stability in their environment. These disruptions can contribute to emotional insecurity, behavioral problems, and difficulties in social relationships, which are risk factors for the development of psychiatric disorders.
A. Marital harmony in the household is generally considered a protective factor rather than a predisposing factor for the development of psychiatric disorders in children.
C. Regular prenatal care for the mother is generally considered a protective factor for the child's development rather than a predisposing factor for psychiatric disorders.
D. Achieving developmental milestones on schedule indicates healthy neurological and cognitive development, as well as appropriate social and emotional functioning.

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Correct Answer is D

Explanation

D. Furosemide is a diuretic that works by increasing urine output, which in turn reduces fluid retention and swelling. By tracking the client's weight on a daily basis, the nurse can obtain a clear and consistent measure of how much fluid is being lost as a result of the medication.
A. Monitoring respiratory status but it may not be the most direct method for evaluating the effectiveness of furosemide in reducing peripheral edema.
B. Monitoring serum protein levels may provide information about the client's nutritional status and liver function, but it is not typically used as a direct measure of response to furosemide for peripheral edema.
C. Improvement in peripheral pulses may indicate a reduction in fluid overload and resolution of edema. However, changes in peripheral pulses may be influenced by factors other than diuresis, such as vascular disease or cardiac function.

A. Have serum lithium levels checked every 6 months. B. Adjust the dose if you feel out of control. C. Do not reduce normal dietary sodium intake. D. Limit fluid intake to 1,000 mL of fluid per day.

Correct Answer is C

Explanation

C. Sodium intake can influence lithium excretion and affect serum lithium levels. Maintaining a consistent and adequate sodium intake is important for stabilizing serum lithium levels and optimizing the medication's therapeutic effects.
A. Patients should have their serum lithium levels checked regularly, typically every 3 months, not just every 6 months as suggested.
B. Clients should never adjust their lithium dose without consulting their healthcare provider. Lithium dosage adjustments should be made only under the guidance and supervision of a healthcare professional based on the client's clinical response, serum lithium levels, and overall treatment plan.
D. Adequate hydration is essential for overall health and well-being, and dehydration can increase the risk of lithium toxicity.

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Which predisposing factor obtained during the nursing assessment would cause the nurse to consider a child to be at risk for the development of a psychiatric disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is administering furosemide 40 mg PO to a client who has peripheral edema. Which method would the nurse use to best evaluate the client's response to this medication?

Correct Answer is D

Explanation

A client who is prescribed lithium carbonate is being discharged from inpatient care. Which medication information should the nurse teach this client?

Correct Answer is C

Explanation

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