The physician prescribes chlorpromazine 150 mg orally 3 times daily and lithium 300 mg twice
daily for a bipolar client. The nurse should plan interventions for
a. depressed mood.
b. increased anxiety.
c. confusion.
d. thirst and dry mouth.
D
Lithium and chlorpromazine both cause thirst and dry mouth. Sugarless gum and adequate fluid
intake will be helpful to the client. The other options are not expected reactions to either drug.
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The nurse is preparing to obtain a throat culture on a toddler patient. What interventions are appropriate for the nurse to implement? (Select all that apply.)
a. Model desired behavior. b. Instruct patient not to yell. c. Use distractions. d. Explain the procedure in detail. e. Encourage the child to ask questions.
The 80-year-old man complains that when he goes to bed and cannot fall asleep, he becomes very upset. What would be an appropriate suggestion for when he has not fallen asleep within 30 minutes?
a. Take two tablets of a sedative medication. b. Get up and do a mild stretching exercise for 15 minutes. c. Remain in bed with his eyes closed. d. Get up and read until he feels sleepy and then return to bed.
A client asks the nurse why it is important to fill out a food frequency questionnaire. The nurse responds that a food frequency record is used to:
1. Determine nutrient excesses and deficiencies. 2. Provide baseline data for dietary planning. 3. Find out which supplements the client is taking. 4. Determine which foods have been consumed during the past 24 hours.
A nurse is making an appointment with a family for a nursing visit. A barrier that may occur when scheduling this appointment is:
a. The assessment cannot be done unless the extended family is present. b. It may be difficult to find a convenient time for all family members to be present. c. Nurses have limited time to do home visits. d. Families are often scattered over a large area making access difficult.