Ivy Tech Community College Of Indiana - Columbus

RECALLS 11 - NURSING PRACTICE IV 1) The nurse has instructed a client diagnosed with tuberculosis about how to prevent the spread of infection after discharge from the hospital. The nurse determines that the client needs further reinforcement of information if the client makes which statement? A. "I should use disposable plates, forks, and knives." B. "I should cough into tissues and throw them away carefully." C. "It's important to cover my mouth if I laugh, sneeze...

A nurse is caring for a client who is in an abusive relationship and is assisting in the development of a safety plan. Which of the following actions is the first component of a safety plan? - Identify signs of escalation of violence. A nurse is caring for a child who has conduct disorder and is behaving in a destructive manner, throwing objects, and kicking others. Which of the following therapeutic nursing interventions is the priority? - Reduce environmental stimuli A nurse is updating ...

RN is assessing a family's dynamics during a counseling session. The RN should recognize which of the following findings as an indication of a boundary issue? - Older children who are responsible for their younger siblings -Ex. enmeshed boundaries - there are no distinctions between the roles of the family members. RN is performing an admission assessment on a client and notices that the client appears withdrawn and fearful. To establish a trusting nurse-client relationship, what actio...

A nurse is assessing a family's dynamics during a counseling session. The nurse should recognize which of the following findings as an indication of boundary issues? - Older children who are responsible for their younger siblings A nurse is performing an admission assessment and notices that the client appears withdrawal and fearful with nurse-client relationship, which of the following actions should the nurse take first? - Inform the client that her admission is confidential. R: According...

ANTIMANIC AGENTS - Lithium carbonate Lithium toxicity: Serum levels >1.5 mcg/L Symptoms: Indigestion, rashes, drowsiness, nausea, vomiting, abdominal cramps, polyuria, polydipsia, ataxia, tremor, slurred speech, disorientation, and seizures. Nursing Implications: toxicity and to maintain high fluid intake and stable salt use. Periodic blood tests to assess drug level are necessary. Teach patient to avoid alcohol use. Instruct patient to take medication with food if medication causes indigesti...

A nurse is assisting in the morning hygiene care of a client who is cognitively impaired. Which of the following statements should the nurse make? - "Let me help you get your toothbrush" A nurse is collecting data from a client who has a history of cocaine use. Which of the following findings is an indication that the client is experiencing cocaine toxicity? - Seizures A nurse is reinforcing teaching with the parent of an adolescent who has amphetamine use disorder. The nurse shoul...

A nurse is caring for 4 clients who are displaying the use of defense mechanisms. Which of the following clients should the nurse identify as using a maladaptive defense mechanism? A. A client with multiple sclerosis stops taking their medication and says their diagnosis is wrong. B. An adolescent client who has difficulty with reading and becomes a star athlete. C. A client admires a highschool principal who seperated two students who were having a fight. D. A client who has a gambling ...

A nurse in a community Health center is working with a group of clients who have posttraumatic stress disorder. Which of the following interventions should the nurse include to reduce anxiety among the group members? - Guided imagery A client who has a recent diagnosis of bipolar disorder is placed in a room with a client who has severe depression. The client who has depression reports to the nurse, " my roommate never sleeps and keeps me up, too."Which of the following actions shoul...

A nurse is admitting a client who has major depressive disorder and a new prescription for tranylcypromine. Which of the following over-the-counter medications that the client reports taking should alert the nurse to a potential adverse reaction? A. Lansoprazole B. Naproxen C. Magnesium hydroxide D. Phenylephrine - D. Phenyleprine Clients who are taking tranylcypromine, an MAOI antidepressant, should not take phenylephrine and other over-the-counter medications for sinus congestion, col...

Human Anatomy and Physiology Lecture Notes for Nursing