Care V Questions and Answers
A client admitted for acute alcohol intoxication begins to experience mild sweating,
tachycardia, fever, and nausea and vomiting. Of the following, the drug treatment of
choice would be what?
a.
Haloperidol
b.
Chlordiazepoxide
c.
Paroxetine
d.
Carbamazepine - ANS-b.
Chlordiazepoxide
A client can expect symptoms of alcohol withdrawal to begin how many hours after the
last drink?
A 24.
B2
C.8
D 16
ANS C 8.
A client discloses to a nurse therapist that the client has been verbally abusive to the
client's 6-year-old child and belittles the child routinely. Which form of abuse best
describes the client's treatment of the child?
a.
Neglect
b.
Emotional abuse
c.
Emotional abuse
d.
Sexual abuse - ANS-BC
A client has a tonic-clonic seizure. The nurse anticipates that the health care provider
will prescribe the intravenous administration of which medication? - ANS-Diazepam
( is a benzodiazepine that has muscle relaxant and anticonvulsant effects )
A client is admitted into the mental health unit involuntarily. Which course of actions
should the nurse take to prevent legal complication. - ANS-a) document that the client is
a danger to himself or others
,b) Keep the client under supervision to prevent suicide attempts
c) File with the court a commitment for evaluation with 96 hours of the client's initial
detention
d) Detain the client for psychiatric treatment for longer than 21 days
(c)
A client is admitted to the emergency department after experiencing a seizure. Which
actions would the nurse take first? - ANS-a) ask the emergency provider for a
prophylactic anticonvulsant
b) Obtain a history of seizure type and incidence
c) ask the client to remove any dentures and eyeglasses
d) observe the client for increased restlessness and agitation
(b)
A client is admitted to the hospital after having a tonic-clonic seizure and is diagnosed
with a seiuzre disorder. Which is most important fro the nurse to include in a teaching
program? - ANS-a) explain strategies a client may use to prevent a physical trauma
from occuring during a seizure
b) teach the client to take anticonvuslant medication on an empty stomach
c) teach the client that the symptoms and treatment of seizures disorders are similar
regardless of the cause
(a)
A client is brought to the emergency department after having overdosed on cocaine.
When assessing the client, which would the nurse expect to find? Select all that apply.
a.
Cardiac arrhythmia
b.
Dilated pupils
c.
Seizures
d.
Euphoria
e.
Paranoia - ANS-AC
A client is brought to the emergency department by a friend who tells the staff that the
friend thinks the client has overdosed on cocaine. Which findings would help support
this situation? Select all that apply.
a.
Respiratory depression
b.
,Nystagmus
c.
Seizures.
d.
Cardiac dysrhythmia
e.
Chest pain - ANS-All but B
A client is diagnosed with Parkinsons disease and receives a prescription of levodopa
therapy. Which mechanism of action would the nurse identify for this medication?
a. Blocks the effects of acetylcholine
b. increase the production of dopamine
c. restores the dopamine levels in the brain
d. promotes the production of acetylcholine - ANS-c. Restores the dopamine levels in
the brain
A client is experienced a tonic-clonic seizure. Which nursing intervention is the priority
during the tonic-clonic stage of the seizure? - ANS-a) go for additional help
b) establish a patent airway
c) turn the client on their side
d) protect the client from injury
(d)
A client is experiencing severe alcohol withdrawal. Which would the nurse most likely
assess? Select all that apply.
a.
Heart rate around 100 beats/min
b.
Gross uncontrollable tremors
c.
Marked diaphoresis
d.
Auditory hallucinations
e.
Decreased appetite - ANS-B and D
A client is perscribed monoamine oxidase inhibitors. Which foods would the nurse teach
the client to avoid? - ANS-a) fresh fish
b) citrus fruit
c) aged cheese
d) ripe avacado
e) delicatessen meats
, (c)(d)(e)
A client receiving a blood transfusion reports itching and difficulty breathing. the heart
rate has increased and the blood pressure is falling. What type of shock is this?
a. septic
b. cardiogenic
c. neurogenic
d. anaphylactic - ANS-anaphylactic
A client sustains a crushing injury of the spinal cord above the level of origin of the
phrenic nerve. As a result of the injury, the nurse expects to react to which clinical
manifestation - ANS-a)Respiratory paralysis and cessation of diaphragmatic
contractions
b) ventricular fibrillation and decreased perfusion
(a)
A client who exhibits blurred and double vision and muscular weakness is informed of
the diagnosis of Mulitple Sclerosis. The client becomes visibly upset
a. that must have shocked you. Tell me what the health care provider told you about it
b. You should see a psychiatrist who will help you cope with this overwhelming news.
c. Don't worry early treatment often alleviates the symptoms of disease - ANS-a. that
must have shocked you. Tell me what the health care provider told you about it
A client who sustained serious burns now has a stress ulcer. if complications occur,
whihc clinic indicator of shock would the nurse report immediately?
( select all that apply)
a. weakness
b. diaphoresis
c. tachycardia
d. cold extremities - ANS-all
A client with a history of alcohol abuse is participating in a 12-step Alcoholics
Anonymous (AA) program. The nurse determines that the client is at step 2 when
stating what?
a.
"I know now that I am powerless over alcohol."
b.
"I am making amends to all those who I've harmed."
c.
"I've admitted to myself and others the wrongdoings I've done."
d.
"I realize that there is a higher power that can help me." - ANS-"I realize that there is a
higher power that can help me."