(Updated FEB 2022)
1. A client who has anorexia nervosa is more likely to have _____ resulting from
extreme malnutrition.
*ANS- lanugo
2. a client who has bulimia nervosa is likely to have _______ caused by frequent
exposure to gastric acid from vomiting.
*ANS- dental caries and tooth erosion
3. extreme distractibility is a hallmark manifestation of _______.
*ANS- delirium
4. criteria for hospitalization is weight loss over 30% of total body weight in
_____months.
*ANS- 6
5. severe hypothermia, a temperature lower than ________ due to loss of
subcutaneous tissue or dehydration, requires hospitalization.
*ANS- 96.8
6. fine hand tremors are an expected adverse effect of _____ and ca interfere with
the client's ADLs, causing the client to stop taking the medication.
*ANS- Lithium
7. the nurse should encourage the client to drink _____ of fluid each waking hour
to maintain hydration.
*ANS- 125 mL
8. an initial response to amitriptyline can develop in 1 week. For a client who has
been severely depressed with suicidal ideation, the energy to carry out a plan is
____.
*ANS- more possible after 1 week of treatment
9. clients who are taking tranylcypromine, an MAOI-antidepressent, should not
take _____and other OTC medications for sinus, congestion, colds or allergies
, due to their actions on the sympathetic nervous system, which can results in
severe hypertension.
*ANS- phenylephrine
10. the nurse should identify that mild cognitive impairment, such as frequently
misplacing objects, is one of the first manifestations expected to occur for a client
who has ____.
*ANS- Alzheimer's Disease
11. a client who is experiencing ___ is expected to have hypertension, tachycardia,
and a fever greater than 38.3 (101 F)
*ANS- alcohol withdrawal
12. a client who is experiencing alcohol withdrawal can experience profuse sweating
and _____ pupils
*ANS- dilated
13. benztropine is used to treat parkinsonism manifestations, such as _____
*ANS- shuffling gait
14. St. John's wort is an herbal preparation that decreases reuptake of serotonin. The
nurse should advise the client that taking St. John's wort with another
medication that also inhibits the reuptake of serotonin, such as ____, placed the
client at risk for
*ANS- paroxetine
15. _____ is common in clients who have depression. The nurse should allow the
client extra time to comprehend and formulate an answer to the question.
*ANS- slowed response time
16. The greatest risk to the client who is experiencing alcohol withdrawal is seizures,
an elevated heart rate, and elevated blood pressure. ____ acts rapidly to prevent
seizures, stabilize vital signs and decrease the intensity of withdrawal
manifestations
*ANS- IV Diazepam
17. it is the ____ responsibility to confront the staff member about her behavior
toward the client.