Homework answers / question archive / 1) A male client with bipolar disorder who began taking lithium carbonate five days ago is complaining of excessive thirst, and the RN finds him attempting to drink water from the bathroom sink faucet

1) A male client with bipolar disorder who began taking lithium carbonate five days ago is complaining of excessive thirst, and the RN finds him attempting to drink water from the bathroom sink faucet

Nursing

Share With

---

1) A male client with bipolar disorder who began taking lithium carbonate five days ago is complaining of excessive thirst, and the RN finds him attempting to drink water from the bathroom sink faucet. Which intervention should the RN implement?

A. Report the client’s serum lithium level to the HCP.

2. Encourage the client to suck on hard candy to relieve the symptoms.
3. No action is needed since polydipsia is a common side effect.
4. Tell the client that drinking from the faucet is not allowed.

2 . A mental health worker is caring for a client with escalating aggressive behavior. Which action by the MHW warrant immediate intervention by the RN?

A. Is attempting to physically restrain the patient.

2. Tells the client to go to the quiet area of the unit.
3. Is using a loud voice to talk to the client.
4. Remains at a distance of 4 feet from the client.

3 . A client is admitted to the mental health unit and reports taking extra antianxiety medication because, “I’m so stressed out. I just want to go to sleep.” The RN should plan one-on-one observation of the client based on which statement?

1. “What should I do? Nothing seems to help.”
2. “I have been so tired lately and needed to sleep.”
3. “I really think that I don’t need to be here.”
4. “I don’t want to walk. Nothing matters anymore.”

4 . The RN is performing intake interviews at a psychiatric clinic. A female client with a known history of drug abuse reports that she had a heart attack four years ago. Use of which substance places the client at highest risk for myocardial infarction?

1. Benzodiazepine
2. Alcohol
3. Methamphetamine
4. Marijuana

5 . A male client comes to the emergency center because he has an erection that will not resolve. The client reports that he is taking trazodone (Desyrel) for insomnia. Which information is most important for the nurse ask the client?

A. When was the last time you drank alcoholic beverage?

2. Have you taken any medications for erectile dysfunction?
3. Are you having any other sexual dysfunctions or problems?
4. Do you have a history of angina or high blood pressure?

6 . The RN on the day shift receive report about a client with depression who was in bed most of the weekend. The RN walks into the client’s room in the morning and finds the client in bed. What intervention is best for the RN to implement? A. Monitor the client’s appetite and pattern of sleep.

2. Assess the client’s feelings about the hospital stay.
3. Assist the client to get out of bed and involved in an activity.
4. Explain that staff will check on the client every 30 minutes.

7 . A female client admitted to the mental health unit starts to shout and scream at the RN. What is the best approach for the RN to take?

1. Stay quietly with the patient
2. Tell her that she is out of control.
3. Distract her by offering her finger foods.
4. Ignore the client’s acting out behavior.

8 . A young adult female visits the mental health clinic complaining of diarrhea, headache, and muscle aches. She is afebrile, denies chills, and all laboratory findings are within normal limits. During the physical assessment, the client tells the RN that her sister thinks she is neurotic and calls her a hypochondriac. Which response is best for the RN to provide?

1. Unless your sister has a medical education, ignore her comments.
2. I can hear that your sister’s comments are overwhelming you.
3. Do you think it’s possible that you might be a hypochondriac?
4. Besides your sister’s comments, what in your life is troubling you?

9 . When developing a plan of care for a client admitted to the psychiatric unit following aspiration of a caustic material related to a suicide attempt, which nursing problem has the highest priority?

1. Impaired comfort.
2. Risk for injury.
3. Ineffective breathing pattern.
4. Ineffective coping.