The nurse administering psychotropic medications should be prepared to intervene when giving a
drug that blocks the attachment of norepinephrine to a1 receptors because the client may experience
a. an increase in psychotic symptoms.
b. hypertensive crisis.
c. orthostatic hypotension.
d. severe appetite disturbance.
ANS: C
Sympathetic mediated vasoconstriction is essential for maintaining normal blood pressure in the
upright position. Blockage of a1 receptors leads to vasodilation and orthostatic hypotension.
Orthostatic hypotension may cause fainting and falls. Clients should be taught ways of minimizing
this phenomenon.
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An older adult client, hospitalized post-surgery, wakes up in the middle of the night very confused. The nurse reorients the client to the surroundings and gets the client to return to sleep
Which should the nurse consider as a source for the client's confusion? A) Ambien 10 mg as needed at bedtime for sleep B) The client's age C) The death of the client's husband last month D) History of cardiac disease
Two clients are roommates in an inpatient psychiatric unit. Client A, who had been missing her gold locket, notices Client B wearing it several days later
Which behavioral response should the nurse expect Client A to display if she were nonassertive? A) Ignore the situation. B) Discuss the situation with her nurse and develop a plan of action. C) Immediately approach Client B and pull the necklace off her neck. D) Offer to wash Client B's clothing for her and then "accidentally" spill bleach in the water.
A jet plane carrying 140 passengers crashes in a nearby community. One can reliably predict that the survivors, families, and community will initially experience:
a. a situational crisis. b. problem resolution. c. adjustment disorders. d. psychological equilibrium.
When a group member supports and encourages another group member and thus feels 'good' about doing so, the group phenomenon at work is
A. altruism. B. ventilation. C. universality. D. group acceptance.