ATI Proctored Assessment Study Guide Flashcards
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
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 frequent rest periods in a 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 risk factors
o CNS depression
o sedation and respiratory depression
o amnesia
o dependency
o withdrawal effects
a nurse is admitting a client who has anorexia nervosa 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 the following 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
temp 103.8
which intervention should nurse do first
determine the client’s prescribed med regimen
adverse effect of lithium
hand tremors
lithium toxicity
anything over 1.5
A nurse is establishing a therapeutic relationship wish a client who has antisocial personality disorder.
Which of the following strategies should the nurse use when communicating with the pt?
set realistic limits on clients behavior
which maintenance medication do you give to a patient going through alcohol withdrawal
disulfiram
