Medications
A client on lithium who forgets a dose should do this.
What is wait until the next scheduled dose?
During a panic attack, the nurse reassures the client and tells them to do this.
What is take a deep breath?
The nurse manages inappropriate behavior in mania by setting these.
What are clear, consistent limits?
For a client who hears command hallucinations, the nurse’s priority is assessing this.
What is risk for harm to self or others?
A lunch tray included coffee 8 oz, juice 4 oz, and soup 120 mL. The total intake is this.
What is 480 mL?
The nurse teaches that lorazepam is intended for this duration of use.
What is short-term use?
Key discharge teaching for panic disorder includes relaxation techniques, medication adherence, and this healthy lifestyle habit.
What is regular exercise?
These food are especially important for clients in the manic phase of bipolar disorder.
What are portable, high-calorie foods?
A client insists, “The FBI has implanted a chip in me.” The nurse responds therapeutically by doing this.
What is voicing doubt / presenting reality?
Clarithromycin 50 mg ordered. Available: 125 mg/5 mL. The correct dose is this.
What is 2 mL?
Mixing alcohol with diazepam can be lethal because it depresses this system.
What is the respiratory system?
Buspirone differs from benzodiazepines in this important way.
What is it takes 7–10 days to work and is non-addictive?
A patient in mania is speaking rapidly and pacing, the nurse needs to provide care, she should
What is interrupt with a clear statement about what she needs to do?
When beginning a therapeutic relationship with a withdrawn, flat-affect client, the best initial intervention is this.
What is offering a simple activity and sitting quietly with the client?
A 220 lb client on a heparin drip at 15 units/kg/hr should receive this many units per hour.
What is 1500 units/hr?
A client on clozapine has regular CBC's drawn due to the risk of this.
What is Agranulocytosis?
This nursing intervention is the priority immediately after ECT.
What is assessing respiratory status?
A client with mania demands to turn the TV on at 0400, during quiet hours. The nurse’s best response is this.
What is calmly restating unit rules?
A client with paranoid schizophrenia is increasingly argumentative. The nurse avoids this type of struggle.
What is a power struggle?
When a withdrawn client says, “I can’t shower,” the most therapeutic intervention is this.
What is assisting the client with hygiene?
A client on haloperidol develops a temperature of 101°F and severe rigidity. This emergency condition is suspected.
What is neuroleptic malignant syndrome?
A client insists, “I don’t need therapy because I’m on Xanax.” The nurse explains this about medication.
What is it relieves symptoms but doesn’t address underlying causes?
A client with mania is pacing rapidly. This type of nursing intervention can provide safe release of energy.
What is offering a treadmill or structured physical activity?
The speech of manic clients may be pressured: rapid, circumstantial, rhyming, noisy, or intrusive with flights of ideas, the nurse should communicate how
What is a clear and honest?
A grieving husband says, “I should have done more to help her.” The most therapeutic response is
What is, “Tell me about your wife”?