Question

In: Nursing

1. A nurse is reviewing the laboratory report of a client who has a panic disorder...

1. A nurse is reviewing the laboratory report of a client who has a panic disorder and is
taking clonazepam. Which of the following laboratory results should the nurse report to
the provider?
A. WBC count 8,000/mm3
B. Hemoglobin 16 g/dl
C. RBC count 4.9 million/mm3
D. Platelets 100.000/mm3

2. A nurse in a long-term care facility is caring for a client. The nurse should identify that
which of the following conditions places the client at an increased risk for developing
delirium?
A. Hypertension
B. WBC count 13,000/mm3
C. BUN 15 mg/dL
D. Neuropathy

3. A nurse is teaching a newly licensed nurse about contributing factors that can lead to the
development of conduct disorder. Which of the following factors related to family
dynamics should the nurse include in the teaching?
A. The client has several siblings
B. The client’s mother has asthma
C. The client is the oldest of their siblings
D. The client’s father lives in the client’s home

4. A home health nurse visits a client who lost their partner 2 years ago. Which of the
following behaviors by the client indicates a maladaptive grief response?
A. The client gives away some of the partner’s belongings.
B. The client expresses feelings of guilt
C. The client is unable to perform basic hygiene tasks
D. The client relocates from a house to an apartment

5. A nurse is caring for a client who has schizophrenia and is taking clozapine. Which of the
following finding is the priority for the nurse to report to the provider?
A. Nausea
B. Random blood glucose 130 mg/dL
C. Sore throat
D. Heart rate 104/mins

Expert Solution

1. Option A: Normal WBC count is 1500 to 8000/mm³. So it need not to be reported

Option B : Normal hb in females is 12 to 16g/dl and in males is 14 to 18g/dl.So the value is within normal limits.

Option C: Normal RBC count is 4.1 to 5.1 million/mm3 for women and 4.5 to 5.9 million/mm3 for men. So 4.9 million/mm³ is normal.

Option D: Normal platelet count is 150,000 to 400,000/mm^3. So the given value of 100,000 is less than normal that indicates thrombocytopenia and needs to be reported.

2. Option A: hypertension as such does not lead to delirium unless it is complicated by hypertensive encephalopathy

Option B: Is correct. Normal WBC count is 4000 to 11000/mm3. Incresed WBC indicates infection. Infections that can cause direct effect on the CNS like a primary brain infection or an infection that can cross blood brain barrier can lead to delirium.

Option C: a BUN level of 7 to 20mg/dl is considered as normal.

Option D: neuropathies does not lead to delirium as it cause nerve weakness and the main cause of delirium are drug toxicity, infections and dehydration.

3. Option A: can be included because one cause of conduct disorder is genetics. So if the client have a sibling with history of conduct disorder, personality or mood disorder it can affect other siblings too.

Option B: Mother's medical condition cannot affect the behavioural pattern unless the child field neglected.

Option C:Is also not relevant as being the oldest improves the sense of responsibility and maturity

Option D: Is also nor relevant as indicates a normal family structure. Dysfunctional families, indisciplined life and traumatic experiences are other causes.

4. Denial, Anger,Bargaining,Depression and Acceptance are stages of greiving.

Option A is a normal response to give away belongings in an attempt to forget

Oprtion B feeling of anger, guilt and sorrow are also normal greif resposes.

Option C is a maldaptive greiveing response as the cleint is unable to carry out activities of daily living like hygeinic measures after 2 years of death of partner.

Option D relocating also indicates acceptance and moving forward in life.

5. Option A nausea is a common side effect of clozapine under GI reactions.

Option B RBS level of 130mg/dl is also not a threatening condition that needs prioritised attention.

Option C sore throat is a sign of infection that may prove fatal while patient is on clozapine. It needs immediate attention.

Option D tachycardia is also a common side effect of clozapine and is usually not associated with angina or heart attack.

Nightingale answered 2 years ago

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