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

Solutions

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 1 year ago

Next > < Previous

Related Solutions

A nurse is caring for a client who has a traumatic brain injury. The client, who...

A nurse is caring for a client who has a traumatic brain injury. The client, who has been quiet and cooperative, becomes agitated and restless. Which of the following assessments should the nurse perform first? a. Blood glucose b. Urinary output c. Motor responses d. Blood pressure

a nurse is caring for client who is taking sertraline and report a desire to begin...

a nurse is caring for client who is taking sertraline and report a desire to begin taking supplements. which of the following supplement the nurse advise the client avoid

The nurse is reviewing the labs of a client admitted to the labor unit with a...

The nurse is reviewing the labs of a client admitted to the labor unit with a diagnosis of preeclampsia. What are reportable laboratory findings in the client with preeclampsia?

1. a nurse is preparing to administer epoetin to a client who has anemia due to...

1. a nurse is preparing to administer epoetin to a client who has anemia due to chemotherapy. which of the following actions should the nurse plan to take? a. review the clients Hgb level prior to administration. b. use the z-track method when administering the medication. c. shake the vial for 30 seconds prior to withdrawing the medication. d. ensure the client is not taking iron supplements while on this medication. 2. a nurse is caring for a client who...

A client is diagnosed with Ménière disease and asks the nurse to describe the disorder. The...

A client is diagnosed with Ménière disease and asks the nurse to describe the disorder. The nurse provides the client with which information? (Select all that apply.) 1. Ringing in the ears occurs. 2. It is characterized by vertigo. 3. Bilateral sensorineural hearing loss occurs. 4. Permanent hearing loss develops as the attacks increase. 5. Cigarette smoking needs to be avoided because of the blood vessel- constricting effect. 6. Salt and fluid restrictions that reduce the amount of fluid in the ear may be helpful.

A nurse is assessing a client who is receiving heparin via continuous IV. The client has...

A nurse is assessing a client who is receiving heparin via continuous IV. The client has an aPTT of 90 seconds. The nurse should monitor the client for which of the following changes in their vital signs? -Decreased temperature -Decreased respiratory rate -Increased pulse rate -Increased blood pressure

A nurse is reviewing the medical record of a client to identify risk factors for colorectal...

A nurse is reviewing the medical record of a client to identify risk factors for colorectal cancer. The nurse should identify which of the following findings as increasing the client's risk? Age 46 years Diet high in fiber BMI of 24 History of Crohn's disease A nurse is providing discharge teaching to a client who will be self-administering insulin at home. Which of the following information should the nurse include regarding needle disposal? "Place your storage container in a recycle...

34. Standards for a certain panic disorder state that people who have more than μ =...

34. Standards for a certain panic disorder state that people who have more than μ = 2 panic attacks in a six month period qualify for a diagnosis of severe panic disorder. People with fewer than 2 panic attacks in this period would not meet the criteria for this particular diagnosis. Researchers hypothesize that work in high stress jobs may affect the incidence of panic attacks. They collect a sample of n = 61 employees from high stress jobs and...

Select 1 of the following anxiety disorders: Panic disorder Agoraphobia Generalized anxiety disorder Provide the following...

Select 1 of the following anxiety disorders: Panic disorder Agoraphobia Generalized anxiety disorder Provide the following details about the disorder: What are some of the symptoms? What would this disorder look like in person? Make sure you relate this back to the DSM criteria. What is its prevalence in the U.S. population? What is your perception of potential impact on workplace performance? Discuss 1 type of treatment approach that has shown to be successful in treating the disorder you selected....

Characterize the symptoms associated with: 1) illness anxiety disorder, 2) panic disorder, and 3) somatic symptom...

Characterize the symptoms associated with: 1) illness anxiety disorder, 2) panic disorder, and 3) somatic symptom disorder. Describe areas of overlap among these three disorders and their distinguishing features. What role does anxiety play in the development and maintenance of each of these disorders? If different, how are the underlying anxiety issues addressed in the treatment of these disorders?

Subjects