1.Exhibit 1 - client ate 80% of lunch with encouragement Mild edema to hands, feet, and ankles, client's states. It feels like my heart is jumping in...

Question Answered step-by-step 1. Exhibit 1 – client ate 80% of lunch with encouragement Mildedema to hands, feet, and ankles, client’s states. It feels like my heart is jumping in my chest! Exhibit 2 – BP 100/64 mm Hg pulse rate 58/min respiratory rate 16 min SaO2 96% BMI 16 Exhibit 3- ECG results, bradycardia, frequent premature ventricular contractions. A nurse is reviewing the medical record of a client who has anorexia nervosa. Which of the following findings should the nurse report to the provider? a. Intakeb. Edemac. Temperatured. Heart rhythm 2. A nurse is caring for a client who has a binge eating disorder. Which of the following actions should the nurse take? a. Weigh the client everyday b. Plan a menu with the clientc. Remain with the client for 1 hr after mealsd. Offer snacks when the client is hungry 3. 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.a. The client expresses feelings of guiltb. The client gives away some of the partner’s belongingsc. The client relocates from a house to an apartment d. The client is unable to perform basic hygiene tasks 4. A nurse is caring for a client who has schizophrenia and is taking clozapine. Which of the following findings is the priority for the nurse to report to the provider? a. Nauseab. Sore throatc. Random blood glucose 130 mg/dld. Heart rate 104/min5. A nurse has placed a client who has become physically aggressive into seclusion. which of the following actions should the nurse take?a. Document the cleint’s behavior every 15 minutesb. Obtain the provider’s prescription within 60 minc. Monitor the client’s vital signs every 4 hrd. Offer the client food and fluids every 2 hr. 6. A nurse is caring for a client who has been taking valproic acid. Which of the following is an expected outcome of the medication? a. The client reports absence of auditory hallucinations. b. The client reports improved short term memory c. The client has decreased euphoric moodd. The client ahs decreased anxiety 7. A nurse on a mental health unit placed a client in mechanical restraints after the client assaulted another client. Which of the following actions should the nurse take? a. Evaluate the client hourly while the restrains are appliedb. Request that the provider renew the prescription for retraints every 8 hrc. Obtain a prescription for restraints on an as needed basisd. Have the provider assess the client within 1 hr after applying the restraints 8. A nurse is reviewing the medication administration record of a client who has major depressive disorder and new prescription for peopline. The nurse should recognize that which of the following client medications is contraindicated when taking with sekegine a. Calciu carbonate b. Warfarinc. Fluoxetined. Acetaminophen 9. A home health nurse is caring for a client who is the continuation phase of major depressive disorder. The client states “I feel unmotivated and don’t feel like leaving my home. Which of the following recommendations should the nurse make toa ddress the clein’ts social isolation?a. Enroll in an online self-help courseb. Practice guided imagery each morningc. Write in a journal daily d. Join a low- impact exercise class 10. A nurse is leading a grief support group for bereaved clients. Which of the following client statements should the nurse report to the provider an indication of clinical depression? A. I feel like I’m angry at the whole world right nowB. It will be a long time before I am happy again C. I don’t feel anything byt numbness anymore D. I don’t know how I could cope if I didn’t have my family support 11. A charge nurse is educating a newly licensed nurse about various defense mechanisms. Which of the following examples should the charge nurse provide when discussing rationalization? a. A client who has stomach pain before presenting a project to his coworkers b. A client who partners died 5 years ago still talks about him in the present tense. c. A client who states she did not a get a promotion because her boss dislikes her. d. A client who states she will worry about her grades after she finishes planning a party12. A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment findings in the client’s history should the nurse report to the provider? a. Recent head injury b. Knee arthroplasty 1 month agoc. Hypothyroidism d. Hepatitis B infection13. A nurse is assessing a client who has depression and takes phenelzine. The client reports eating pepperoni pizza while out on a pass during lunchtime, which of the following assessments should the nurse perform? a. Pupil responseb. Bowel soundsc. Oxygen saturation d. Blood pressure 14. A nurse is assessing a client who recently experienced the loss of their partner. Which of the following question is the priority for the nurse to ask during this situational crisis? a. Who do you talk to when you need helpb. How do you think the event is affecting your life right nowc. What do you usually do to cope with problems in your lifed. Are you having thoughts about harming yourself 15. A nurse is caring for a client who has an anxiety disorder and is scheduled for a procedure. The client informs the nurse that they do not want to have the procedure. Which of the following actions should the nurse take? a. Inform the client that they have the legal right to refuse treatment at any time b. Request another nurse to review the producer with the client c. Encourage the client to have the procedured. Obtain consent from the client’s family member Health Science Science Nursing NURS 2488 Share QuestionEmailCopy link Comments (0)