What is given to reduce muscle movement during therapy?
Succinylcholine
A pt has schizophrenia and reports auditory hallucinations - what intervention should the nurse
include in plan?
Promote the use of music to compete with client's auditory hallucinations
Brainpower
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Pt experiencing Mania what should the nurse provide?
Provide high carb snacks
A nurse is planning care for a pt who is experiencing acute mania. Which of the following
interventions should the nurse include in the plan to promote?
encourage freq rest periods the day.
A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following
meds should the nurse administer first?
Diazepam
diazepam acts rapidly to prevent seizures, stabilize vital signs and decrease intensity of
withdrawal manifestations.
, Diazepam Risk Factors
CNS depression - sedation and respiratory depression, amnesia, dependency, and withdrawal
effects
A nurse is admitting a client who has anorexia nervousa and is at 60% of the ideal body weight -
which of the following interventions should the nurse include in the plan of care?
Encourage pt to drink 125 mL of fluid each hour while awake
During morning rounds, a nurse finds a client who has schizophrenia trembling and tearful in
their bed. The client reports that a bomb was placed in their room by a family member during
visiting hours. Which of the following actions should the nurse take?
*Assess the client for evidence of a perceptual disturbance?
A nurse is caring for a pt with borderline personality disorder - which of foal is a priority when
caring for this pt?
Refrain from self mutalization
A nurse is planning care for a child with ADHD. Which of the following interventions should the
nurse ID as the priority?
-Remove unnecessary equipment from the child's surroundings.
A pt comes into the ED for hypertension after having a glass of wine. BP 210/105 and temp
103.8 - which intervention should nurse do first?
-Determine the client's prescribed med regimen
Adverse effect of Lithium
Hand Tremors
Fine hand tremors are an expected adverse effect of lithium and can inter with the performance
of ADLS, causing the client to stop taking the medication
Lithium Toxicity is
Anything over 1.2 - 1.2 is normal range
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