ATI 2023 2

Question 1

Alcohol withdraw
expecting findings

Answer 1

headache

Question 2

A client who has acute delirium
Expecting findings

Answer 2

Rapid fluctuation in the level of consciousness
変動

Question 3

A client who has acute delirium
What item nurse should use to promote optimal cognitive function?

Answer 3

Wall calendrer
for reorientation and memory

Question 4

Clomipramine ADR?

Answer 4

Sedation
tricyclic antidepressants

Question 5

A client was on antidepressants and started tapering off.
Which tardive dyskinesia manifestations should monitor?

Answer 5

Involuntary tongue protrusion

Tardive dyskinesia begins with mouth and face

Question 6

Alcohol detoxification
Med?

Answer 6

Diazepam

Question 7

Chlorpromazine
What used for?

Answer 7

Controls manifestations of schizophrenia
antipsychotic

Question 8

When a client is under wrist restraints, what nurse to do?

Answer 8

Document the pt’s behavior every 15 mins while restraints are in place

Question 9

Wernicke-Korasakoff syndrome d/t alcohol use. symptoms?

Answer 9

confusion

Question 10

age related change
a) making errors when balancing a checkbook
b) Confusion with time or place
c) Poor judgment
d) Change in mood

Answer 10

a

Question 11

Bipolar and has acute mania
What plan nurse should include?

Answer 11

Encourage the pt to have frequent rest

Question 12

Pt under IV antibiotics for an infection.
Pt uses daily alcohol use at home. On the 2nd day, BP was 195/102 and HR of 118.
What to do?

Answer 12

Request a prescription for chlordiazepoxide
For withdrawal and reduces seizures and delirium

Question 13

A pt under anxiety says that he forgot his partner’s birthday after they had an argument. Which defense mechanisms is this?

Answer 13

Repression
unconscious exclusion of unwanted experiences, and emotions, and idea