A nurse is assigned to care for a client with bipolar disorder in the manic phase

  • A client hospitalized with severe depression and suicidal ideation refuses to talk with the nurse. The nurse recognizes that the suicidal client has difficulty:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Expressing feelings of low self-worth
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Discussing remorse and guilt for actions
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Displaying dependence on others
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Expressing anger toward others

      Quick Answers: 187

      Detailed Answer: 190

  • A client receiving HydroDIURIL (hydrochlorothiazide) is instructed to increase her dietary intake of potassium. The best snack for the client requiring increased potassium is:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Pear
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Apple
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Orange
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Banana

      Quick Answers: 187

      Detailed Answer: 190

  • The nurse is caring for a client following removal of the thyroid. Immediately post-op, the nurse should:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Maintain the client in a semi-Fowler’s position with the head and neck supported by pillows
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Encourage the client to turn her head side to side, to promote drainage of oral secretions
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Maintain the client in a supine position with sandbags placed on either side of the head and neck
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Encourage the client to cough and breathe deeply every 2 hours, with the neck in a flexed position

      Quick Answers: 187

      Detailed Answer: 190

  • A client hospitalized with chronic dyspepsia is diagnosed with gastric cancer. Which of the following is associated with an increased incidence of gastric cancer?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Dairy products
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Carbonated beverages
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Refined sugars
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Luncheon meats

      Quick Answers: 187

      Detailed Answer: 190

  • A client is sent to the psychiatric unit for forensic evaluation after he is accused of arson. His tentative diagnosis is antisocial personality disorder. In reviewing the client’s record, the nurse could expect to find:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. A history of consistent employment
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. A below-average intelligence
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. A history of cruelty to animals
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. An expression of remorse for his actions

      Quick Answers: 187

      Detailed Answer: 190

  • The licensed vocational nurse may not assume the primary care for a client:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. In the fourth stage of labor
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Two days post-appendectomy
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. With a venous access device
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. With bipolar disorder

      Quick Answers: 187

      Detailed Answer: 190

  • The physician has ordered dressings with mafenide acetate (Sulfamylon) cream for a client with full-thickness burns of the hands and arms. Before dressing changes, the nurse should give priority to:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Administering pain medication
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Checking the adequacy of urinary output
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Requesting a daily complete blood count
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Obtaining a blood glucose by finger stick

      Quick Answers: 187

      Detailed Answer: 190

  • The nurse is teaching a group of parents about gross motor development of the toddler. Which behavior is an example of the normal gross motor skill of a toddler?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. She can pull a toy behind her.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. She can copy a horizontal line.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. She can build a tower of eight blocks.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. She can broad-jump.

      Quick Answers: 187

      Detailed Answer: 190

  • A client hospitalized with a fractured mandible is to be discharged. Which piece of equipment should be kept on the client with a fractured mandible?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Wire cutters
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Oral airway
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Pliers
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Tracheostomy set

      Quick Answers: 187

      Detailed Answer: 190

  • The nurse is to administer digoxin (Lanoxin) elixir to a 6-month-old with a congenital heart defect. The nurse auscultates an apical pulse rate of 100. The nurse should:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Record the heart rate and call the physician
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Record the heart rate and administer the medication
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Administer the medication and recheck the heart rate in 15 minutes
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Hold the medication and recheck the heart rate in 30 minutes

      Quick Answers: 187

      Detailed Answer: 190

  • A mother of a 3-year-old hospitalized with lead poisoning asks the nurse to explain the treatment for her daughter. The nurse’s explanation is based on the knowledge that lead poisoning is treated with:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Gastric lavage
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Chelating agents
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Antiemetics
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Activated charcoal

      Quick Answers: 187

      Detailed Answer: 191

  • An 18-month-old is scheduled for a cleft palate repair. The usual type of restraints for the child with a cleft palate repair are:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Elbow restraints
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Full arm restraints
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Wrist restraints
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Mummy restraints

      Quick Answers: 187

      Detailed Answer: 191

  • A client with glaucoma has been prescribed Timoptic (timolol) eyedrops. Timoptic should be used with caution in the client with a history of:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Diabetes
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Gastric ulcers
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Emphysema
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Pancreatitis

      Quick Answers: 187

      Detailed Answer: 191

  • An elderly client who experiences nighttime confusion wanders from his room into the room of another client. The nurse can best help decrease the client’s confusion by:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Assigning a nursing assistant to sit with him until he falls asleep
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Allowing the client to room with another elderly client
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Administering a bedtime sedative
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Leaving a nightlight on during the evening and night shifts

      Quick Answers: 187

      Detailed Answer: 191

  • Which of the following is a common complaint of the client with end-stage renal failure?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Weight loss
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Itching
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Ringing in the ears
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Bruising

      Quick Answers: 187

      Detailed Answer: 191

  • Which of the following medication orders needs further clarification?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Darvocet (propoxyphene) 65mg PO every 4–6 hrs. PRN
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Mysoline (primidone) 250mg PO TID
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Coumadin (warfarin sodium) 10mg PO
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Premarin (conjugated estrogen) .625mg PO daily

      Quick Answers: 187

      Detailed Answer: 191

  • The best diet for the client with Meniere’s syndrome is one that is:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. High in fiber
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Low in sodium
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. High in iodine
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Low in fiber

      Quick Answers: 187

      Detailed Answer: 191

  • Which of the following findings is associated with right-sided heart failure?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Shortness of breath
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Nocturnal polyuria
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Daytime oliguria
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Crackles in the lungs

      Quick Answers: 187

      Detailed Answer: 191

  • An 8-year-old admitted with an upper-respiratory infection has an order for O2 saturation via pulse oximeter. To ensure an accurate reading, the nurse should:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Place the probe on the child’s abdomen
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Recalibrate the oximeter at the beginning of each shift
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Apply the probe and wait 15 minutes before obtaining a reading
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Place the probe on the child’s finger

      Quick Answers: 187

      Detailed Answer: 191

  • An infant with Tetralogy of Fallot is discharged with a prescription for lanoxin elixir. The nurse should instruct the mother to:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Administer the medication using a nipple
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Administer the medication using the calibrated dropper in the bottle
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Administer the medication using a plastic baby spoon
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Administer the medication in a baby bottle with 1oz. of water

      Quick Answers: 187

      Detailed Answer: 191

  • The client scheduled for electroconvulsive therapy tells the nurse, “I’m so afraid. What will happen to me during the treatment?” Which of the following statements is most therapeutic for the nurse to make?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. “You will be given medicine to relax you during the treatment.”
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. “The treatment will produce a controlled grand mal seizure.”
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. “The treatment might produce nausea and headache.”
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. “You can expect to be sleepy and confused for a time after the treatment.”

      Quick Answers: 187

      Detailed Answer: 191

  • Which of the following skin lesions is associated with Lyme’s disease?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Bull’s eye rash
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Papular crusts
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Bullae
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Plaques

      Quick Answers: 187

      Detailed Answer: 191

  • Which of the following snacks would be suitable for the child with gluten-induced enteropathy?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Soft oatmeal cookie
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Buttered popcorn
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Peanut butter and jelly sandwich
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Cheese pizza

      Quick Answers: 187

      Detailed Answer: 192

  • A client with schizophrenia is receiving chlorpromazine (Thorazine) 400mg twice a day. An adverse side effect of the medication is:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Photosensitivity
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Elevated temperature
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Weight gain
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Elevated blood pressure

      Quick Answers: 187

      Detailed Answer: 192

  • Which information should be given to the client taking phenytoin (Dilantin)?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Taking the medication with meals will increase its effectiveness.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. The medication can cause sleep disturbances.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. More frequent dental appointments will be needed for special gum care.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. The medication decreases the effects of oral contraceptives.

      Quick Answers: 187

      Detailed Answer: 192

  • A client has returned to his room following an esophagoscopy. Before offering fluids, the nurse should give priority to assessing the client’s:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Level of consciousness
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Gag reflex
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Urinary output
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Movement of extremities

      Quick Answers: 187

      Detailed Answer: 192

  • Which instruction should be included in the discharge teaching for the client with cataract surgery?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Over-the-counter eyedrops can be used to treat redness and irritation.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. The eye shield should be worn at night.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. It will be necessary to wear special cataract glasses.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. A prescription for medication to control post-operative pain will be needed.

      Quick Answers: 187

      Detailed Answer: 192

  • An 8-year-old is admitted with drooling, muffled phonation, and a temperature of 102°F. The nurse should immediately notify the doctor because the child’s symptoms are suggestive of:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Strep throat
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Epiglottitis
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Laryngotracheobronchitis
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Bronchiolitis

      Quick Answers: 187

      Detailed Answer: 192

  • Phototherapy is ordered for a newborn with physiologic jaundice. The nurse caring for the infant should:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Offer the baby sterile water between feedings of formula
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Apply an emollient to the baby’s skin to prevent drying
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Wear a gown, gloves, and a mask while caring for the infant
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Place the baby on enteric isolation

      Quick Answers: 187

      Detailed Answer: 192

  • A teen hospitalized with anorexia nervosa is now permitted to leave her room and eat in the dining room. Which of the following nursing interventions should be included in the client’s plan of care?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Weighing the client after she eats
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Having a staff member remain with her for 1 hour after she eats
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Placing high-protein foods in the center of the client’s plate
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Providing the client with child-size utensils

      Quick Answers: 187

      Detailed Answer: 192

  • According to Erickson’s stage of growth and development, the developmental task associated with middle childhood is:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Trust
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Initiative
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Independence
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Industry

      Quick Answers: 187

      Detailed Answer: 192

  • The nurse should observe for side effects associated with the use of bronchodilators. A common side effect of bronchodilators is:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Tinnitus
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Nausea
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Ataxia
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Hypotension

      Quick Answers: 187

      Detailed Answer: 192

  • The 5-minute Apgar of a baby delivered by C-section is recorded as 9. The most likely reason for this score is:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. The mottled appearance of the trunk
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. The presence of conjunctival hemorrhages
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Cyanosis of the hands and feet
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Respiratory rate of 20–28 per minute

      Quick Answers: 187

      Detailed Answer: 193

  • A 5-month-old infant is admitted to the ER with a temperature of 103.6°F and irritability. The mother states that the child has been listless for the past several hours and that he had a seizure on the way to the hospital. A lumbar puncture confirms a diagnosis of bacterial meningitis. The nurse should assess the infant for:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Periorbital edema
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Tenseness of the anterior fontanel
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Positive Babinski reflex
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Negative scarf sign

      Quick Answers: 187

      Detailed Answer: 193

  • A client with a bowel resection and anastamosis returns to his room with an NG tube attached to intermittent suction. Which of the following observations indicates that the nasogastric suction is working properly?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. The client’s abdomen is soft.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. The client is able to swallow.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. The client has active bowel sounds.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. The client’s abdominal dressing is dry and intact.

      Quick Answers: 187

      Detailed Answer: 193

  • The nurse is teaching the client with insulin-dependent diabetes the signs of hypoglycemia. Which of the following signs is associated with hypoglycemia?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Tremulousness
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Slow pulse
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Nausea
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Flushed skin

      Quick Answers: 187

      Detailed Answer: 193

  • Which of the following symptoms is associated with exacerbation of multiple sclerosis?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Anorexia
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Seizures
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Diplopia
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Insomnia

      Quick Answers: 187

      Detailed Answer: 193

  • Which of the following conditions is most likely related to the development of renal calculi?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Gout
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Pancreatitis
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Fractured femur
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Disc disease

      Quick Answers: 187

      Detailed Answer: 193

  • A client with AIDS is admitted for treatment of wasting syndrome. Which of the following dietary modifications can be used to compensate for the limited absorptive capability of the intestinal tract?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Thoroughly cooking all foods
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Offering yogurt and buttermilk between meals
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Forcing fluids
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Providing small, frequent meals

      Quick Answers: 187

      Detailed Answer: 193

  • The treatment protocol for a client with acute lymphocytic leukemia includes prednisone, methotrexate, and cimetadine. The purpose of the cimetadine is to:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Decrease the secretion of pancreatic enzymes
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Enhance the effectiveness of methotrexate
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Promote peristalsis
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Prevent a common side effect of prednisone

      Quick Answers: 187

      Detailed Answer: 193

  • Which of the following meal choices is suitable for a 6-month-old infant?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Egg white, formula, and orange juice
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Apple juice, carrots, whole milk
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Rice cereal, apple juice, formula
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Melba toast, egg yolk, whole milk

      Quick Answers: 187

      Detailed Answer: 193

  • The LPN is preparing to administer an injection of vitamin K to the newborn. The nurse should administer the injection in the:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Rectus femoris muscle
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Vastus lateralis muscle
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Deltoid muscle
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Dorsogluteal muscle

      Quick Answers: 187

      Detailed Answer: 193

  • The physician has prescribed Cytoxan (cyclophosphamide) for a client with nephotic syndrome. The nurse should:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Encourage the client to drink extra fluids
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Request a low-protein diet for the client
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Bathe the client using only mild soap and water
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Provide additional warmth for swollen, inflamed joints

      Quick Answers: 187

      Detailed Answer: 193

  • The nurse is caring for a client with detoxification from alcohol. Which medication is used in the treatment of alcohol withdrawal?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Antabuse (disulfiram)
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Romazicon (flumazenil)
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Dolophine (methodone)
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Ativan (lorazepam)

      Quick Answers: 187

      Detailed Answer: 194

  • A client with insulin-dependent diabetes takes 20 units of NPH insulin at 7 a.m. The nurse should observe the client for signs of hypoglycemia at:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. 8 a.m.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. 10 a.m.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. 3 p.m.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. 5 a.m.

      Quick Answers: 187

      Detailed Answer: 194

  • The licensed practical nurse is assisting the charge nurse in planning care for a client with a detached retina. Which of the following nursing diagnoses should receive priority?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Alteration in comfort
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Alteration in mobility
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Alteration in skin integrity
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Alteration in O2 perfusion

      Quick Answers: 187

      Detailed Answer: 194

  • The primary purpose for using a CPM machine for the client with a total knee repair is to help:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Prevent contractures
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Promote flexion of the artificial joint
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Decrease the pain associated with early ambulation
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Alleviate lactic acid production in the leg muscles

      Quick Answers: 187

      Detailed Answer: 194

  • Which of the following statements reflects Kohlberg’s theory of the moral development of the preschool-age child?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Obeying adults is seen as correct behavior.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Showing respect for parents is seen as important.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Pleasing others is viewed as good behavior.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Behavior is determined by consequences.

      Quick Answers: 187

      Detailed Answer: 194

  • A toddler with otitis media has just completed antibiotic therapy. A recheck appointment should be made to:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Determine whether the ear infection has affected her hearing
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Make sure that she has taken all the antibiotic
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Document that the infection has completely cleared
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Obtain a new prescription in case the infection recurs

      Quick Answers: 187

      Detailed Answer: 194

  • A factory worker is brought to the nurse’s office after a metal fragment enters his right eye. The nurse should:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Cover the right eye with a sterile 4×4
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Attempt to remove the metal with a cotton-tipped applicator
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Flush the eye for 10 minutes with running water
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Cover both eyes and transport the client to the ER

      Quick Answers: 187

      Detailed Answer: 194

  • The nurse is caring for a client with systemic lupus erythematosis (SLE). The major complication associated with systemic lupus erythematosis is:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Nephritis
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Cardiomegaly
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Desquamation
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Meningitis

      Quick Answers: 187

      Detailed Answer: 194

  • Which diet is associated with an increased risk of colorectal cancer?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Low protein, complex carbohydrates
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. High protein, simple carbohydrates
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. High fat, refined carbohydrates
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Low carbohydrates, complex proteins

      Quick Answers: 187

      Detailed Answer: 194

  • The nurse is caring for an infant following a cleft lip repair. While comforting the infant, the nurse should avoid:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Holding the infant
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Offering a pacifier
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Providing a mobile
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Offering sterile water

      Quick Answers: 187

      Detailed Answer: 194

  • The physician has ordered Amoxil (amoxicillin) 500mg capsules for a client with esophageal varices. The nurse can best care for the client’s needs by:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Giving the medication as ordered
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Providing extra water with the medication
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Giving the medication with an antacid
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Requesting an alternate form of the medication

      Quick Answers: 187

      Detailed Answer: 195

  • The nurse is providing dietary instructions for a client with iron-deficiency anemia. Which food is a poor source of iron?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Tomatoes
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Legumes
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Dried fruits
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Nuts

      Quick Answers: 187

      Detailed Answer: 195

  • The nurse is teaching a client with Parkinson’s disease ways to prevent curvatures of the spine associated with the disease. To prevent spinal flexion, the nurse should tell the client to:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Periodically lie prone without a neck pillow
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Sleep only in dorsal recumbent position
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Rest in supine position with his head elevated
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Sleep on either side but keep his back straight

      Quick Answers: 187

      Detailed Answer: 195

  • The nurse is planning dietary changes for a client following an episode of pancreatitis. Which diet is suitable for the client?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Low calorie, low carbohydrate
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. High calorie, low fat
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. High protein, high fat
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Low protein, high carbohydrate

      Quick Answers: 187

      Detailed Answer: 195

  • A client with hypothyroidism frequently complains of feeling cold. The nurse should tell the client that she will be more comfortable if she:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Uses an electric blanket at night
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Dresses in extra layers of clothing
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Applies a heating pad to her feet
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Takes a hot bath morning and evening

      Quick Answers: 187

      Detailed Answer: 195

  • A client has been hospitalized with a diagnosis of laryngeal cancer. Which factor is most significant in the development of laryngeal cancer?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. A family history of laryngeal cancer
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Chronic inhalation of noxious fumes
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Frequent straining of the vocal cords
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. A history of alcohol and tobacco use

      Quick Answers: 187

      Detailed Answer: 195

  • The nurse is completing an assessment history of a client with pernicious anemia. Which complaint differentiates pernicious anemia from other types of anemia?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Difficulty in breathing after exertion
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Numbness and tingling in the extremities
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. A faster-than-usual heart rate
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Feelings of lightheadedness

      Quick Answers: 187

      Detailed Answer: 195

  • The chart of a client with schizophrenia states that the client has echolalia. The nurse can expect the client to:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Speak using words that rhyme
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Repeat words or phrases used by others
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Include irrelevant details in conversation
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Make up new words with new meanings

      Quick Answers: 187

      Detailed Answer: 195

  • Which early morning activity helps to reduce the symptoms associated with rheumatoid arthritis?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Brushing the teeth
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Drinking a glass of juice
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Drinking a cup of coffee
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Brushing the hair

      Quick Answers: 187

      Detailed Answer: 195

  • A newborn weighed 7 pounds at birth. At 6 months of age, the infant could be expected to weigh:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. 14 pounds
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. 18 pounds
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. 25 pounds
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. 30 pounds

      Quick Answers: 187

      Detailed Answer: 195

  • A client with nontropical sprue has an exacerbation of symptoms. Which meal selection is responsible for the recurrence of the client’s symptoms?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Tossed salad with oil and vinegar dressing
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Baked potato with sour cream and chives
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Cream of tomato soup and crackers
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Mixed fruit and yogurt

      Quick Answers: 187

      Detailed Answer: 196

  • A client with congestive heart failure has been receiving Digoxin (lanoxin). Which finding indicates that the medication is having a desired effect?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Increased urinary output
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Stabilized weight
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Improved appetite
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Increased pedal edema

      Quick Answers: 187

      Detailed Answer: 196

  • Which play activity is best suited to the gross motor skills of the toddler?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Coloring book and crayons
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Ball
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Building cubes
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Swing set

      Quick Answers: 187

      Detailed Answer: 196

  • The physician has ordered Basalgel (aluminum carbonate gel) for a client with recurrent indigestion. The nurse should teach the client common side effects of the medication, which include:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Constipation
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Urinary retention
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Diarrhea
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Confusion

      Quick Answers: 187

      Detailed Answer: 196

  • A client is admitted with suspected abdominal aortic aneurysm (AAA). A common complaint of the client with an abdominal aortic aneurysm is:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Loss of sensation in the lower extremities
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Back pain that lessens when standing
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Decreased urinary output
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Pulsations in the periumbilical area

      Quick Answers: 187

      Detailed Answer: 196

  • A client is admitted with acute adrenal crisis. During the intake assessment, the nurse can expect to find that the client has:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Low blood pressure
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Slow, regular pulse
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Warm, flushed skin
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Increased urination

      Quick Answers: 187

      Detailed Answer: 196

  • An elderly client is hospitalized for a transurethral prostatectomy. Which finding should be reported to the doctor immediately?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Hourly urinary output of 40–50cc
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Bright red urine with many clots
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Dark red urine with few clots
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Requests for pain med q 4 hrs.

      Quick Answers: 187

      Detailed Answer: 196

  • A 9-year-old is admitted with suspected rheumatic fever. Which finding is suggestive of polymigratory arthritis?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Irregular movements of the extremities and facial grimacing
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Painless swelling over the extensor surfaces of the joints
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Faint areas of red demarcation over the back and abdomen
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Swelling, inflammation, and effusion of the joints

      Quick Answers: 187

      Detailed Answer: 196

  • A child with croup is placed in a cool, high-humidity tent connected to room air. The primary purpose of the tent is to:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Prevent insensible water loss
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Provide a moist environment with oxygen at 30%
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Prevent dehydration and reduce fever
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Liquefy secretions and relieve laryngeal spasm

      Quick Answers: 187

      Detailed Answer: 196

  • A client is admitted with a diagnosis of hypothyroidism. An initial assessment of the client would reveal:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Slow pulse rate, weight loss, diarrhea, and cardiac failure
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Weight gain, lethargy, slowed speech, and decreased respiratory rate
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Rapid pulse, constipation, and bulging eyes
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Decreased body temperature, weight loss, and increased respirations

      Quick Answers: 187

      Detailed Answer: 196

  • Which statement describes the contagious stage of varicella?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. The contagious stage is 1 day before the onset of the rash until the appearance of vesicles.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. The contagious stage lasts during the vesicular and crusting stages of the lesions.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. The contagious stage is from the onset of the rash until the rash disappears.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. The contagious stage is 1 day before the onset of the rash until all the lesions are crusted.

      Quick Answers: 187

      Detailed Answer: 197

  • A client admitted to the psychiatric unit claims to be the Son of God and insists that he will not be kept away from his followers. The most likely explanation for the client’s delusion is:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. A religious experience
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. A stressful event
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Low self-esteem
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Overwhelming anxiety

      Quick Answers: 187

      Detailed Answer: 197

  • The nurse is caring for an 8-year-old following a routine tonsillectomy. Which finding should be reported immediately?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Reluctance to swallow
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Drooling of blood-tinged saliva
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. An axillary temperature of 99°F
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Respiratory stridor

      Quick Answers: 187

      Detailed Answer: 197

  • The nurse is admitting a client with a suspected duodenal ulcer. The client will most likely report that his abdominal discomfort lessens when he:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Skips a meal
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Rests in recumbent position
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Eats a meal
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Sits upright after eating

      Quick Answers: 187

      Detailed Answer: 197

  • Which of the following meal selections is appropriate for the client with celiac disease?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Toast, jam, and apple juice
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Peanut butter cookies and milk
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Rice Krispies bar and milk
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Cheese pizza and Kool-Aid

      Quick Answers: 187

      Detailed Answer: 197

  • A client with hyperthyroidism is taking lithium carbonate to inhibit thyroid hormone release. Which complaint by the client should alert the nurse to a problem with the client’s medication?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. The client complains of blurred vision.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. The client complains of increased thirst and increased urination.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. The client complains of increased weight gain over the past year.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. The client complains of changes in taste.

      Quick Answers: 187

      Detailed Answer: 197

  • A 2-month-old infant has just received her first Tetraimmune injection. The nurse should tell the mother that the immunization:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Will need to be repeated when the child is 4 years of age
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Is given to determine whether the child is susceptible to pertussis
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Is one of a series of injections that protects against dpt and Hib
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Is a one-time injection that protects against MMR and varicella

      Quick Answers: 187

      Detailed Answer: 197

  • The nurse is caring for a client hospitalized with bipolar disorder, manic phase. Which of the following snacks would be best for the client with mania?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Potato chips
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Diet cola
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Apple
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Milkshake

      Quick Answers: 187

      Detailed Answer: 197

  • A 2-year-old is hospitalized with suspected intussusception. Which finding is associated with intussusception?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. “Currant jelly” stools
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Projectile vomiting
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. “Ribbonlike” stools
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Palpable mass over the flank

      Quick Answers: 187

      Detailed Answer: 197

  • A client is being treated for cancer with linear acceleration radiation. The physician has marked the radiation site with a blue marking pen. The nurse should:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Remove the unsightly markings with acetone or alcohol
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Cover the radiation site with loose gauze dressing
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Sprinkle baby powder over the radiated area
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Refrain from using soap or lotion on the marked area

      Quick Answers: 187

      Detailed Answer: 197

  • The nurse is caring for a client with acromegaly. Following a transphenoidal hypophysectomy, the nurse should:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Monitor the client’s blood sugar
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Suction the mouth and pharynx every hour
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Place the client in low Trendelenburg position
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Encourage the client to cough

      Quick Answers: 187

      Detailed Answer: 197

  • A client newly diagnosed with diabetes is started on Precose (acarbose). The nurse should tell the client that the medication should be taken:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. 1 hour before meals
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. 30 minutes after meals
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. With the first bite of a meal
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Daily at bedtime

      Quick Answers: 187

      Detailed Answer: 198

  • A client with a deep decubitus ulcer is receiving therapy in the hyperbaric oxygen chamber. Before therapy, the nurse should:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Apply a lanolin-based lotion to the skin
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Wash the skin with water and pat dry
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Cover the area with a petroleum gauze
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Apply an occlusive dressing to the site

      Quick Answers: 187

      Detailed Answer: 198

  • A client with a laryngectomy returns from surgery with a nasogastric tube in place. The primary reason for placement of the nasogastric tube is to:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Prevent swelling and dysphagia
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Decompress the stomach via suction
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Prevent contamination of the suture line
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Promote healing of the oral mucosa

      Quick Answers: 187

      Detailed Answer: 198

  • The chart indicates that a client has expressive aphasia following a stroke. The nurse understands that the client will have difficulty with:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Speaking and writing
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Comprehending spoken words
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Carrying out purposeful motor activity
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Recognizing and using an object correctly

      Quick Answers: 188

      Detailed Answer: 198

  • A camp nurse is applying sunscreen to a group of children enrolled in swim classes. Chemical sunscreens are most effective when applied:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Just before sun exposure
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. 5 minutes before sun exposure
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. 15 minutes before sun exposure
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. 30 minutes before sun exposure

      Quick Answers: 188

      Detailed Answer: 198

  • A post-operative client has an order for Demerol (meperidine) 75mg and Phenergan (promethazine) 25mg IM every 3–4 hours as needed for pain. The combination of the two medications produces a/an:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Agonist effect
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Synergistic effect
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Antagonist effect
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Excitatory effect

      Quick Answers: 188

      Detailed Answer: 198

  • Before administering a client’s morning dose of Lanoxin (digoxin), the nurse checks the apical pulse rate and finds a rate of 54. The appropriate nursing intervention is to:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Record the pulse rate and administer the medication
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Administer the medication and monitor the heart rate
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Withhold the medication and notify the doctor
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Withhold the medication until the heart rate increases

      Quick Answers: 188

      Detailed Answer: 198

  • What information should the nurse give a new mother regarding the introduction of solid foods for her infant?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Solid foods should not be given until the extrusion reflex disappears, at 8–10 months of age.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Solid foods should be introduced one at a time, with 4- to 7-day intervals.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Solid foods can be mixed in a bottle or infant feeder to make feeding easier.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Solid foods should begin with fruits and vegetables.

      Quick Answers: 188

      Detailed Answer: 198

  • A client with schizophrenia is started on Zyprexa (olanzapine). Three weeks later, the client develops severe muscle rigidity and elevated temperature. The nurse should give priority to:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Withholding all morning medications
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Ordering a CBC and CPK
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Administering prescribed anti-Parkinsonian medication
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Transferring the client to a medical unit

      Quick Answers: 188

      Detailed Answer: 198

  • A client with human immunodeficiency syndrome has gastrointestinal symptoms, including diarrhea. The nurse should teach the client to avoid:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Calcium-rich foods
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Canned or frozen vegetables
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Processed meat
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Raw fruits and vegetables

      Quick Answers: 188

      Detailed Answer: 198

  • A 4-year-old is admitted with acute leukemia. It will be most important to monitor the child for:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Abdominal pain and anorexia
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Fatigue and bruising
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Bleeding and pallor
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Petechiae and mucosal ulcers

      Quick Answers: 188

      Detailed Answer: 199

  • A 5-month-old is diagnosed with atopic dermatitis. Nursing interventions will focus on:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Preventing infection
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Administering antipyretics
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Keeping the skin free of moisture
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Limiting oral fluid intake

      Quick Answers: 188

      Detailed Answer: 199

  • The nurse is caring for a client with a history of diverticulitis. The client complains of abdominal pain, fever, and diarrhea. Which food was responsible for the client’s symptoms?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Mashed potatoes
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Steamed carrots
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Baked fish
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Whole-grain cereal

      Quick Answers: 188

      Detailed Answer: 199

  • The physician has scheduled a Whipple procedure for a client with pancreatic cancer. The nurse recognizes that the client’s cancer is located in:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. The tail of the pancreas
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. The head of the pancreas
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. The body of the pancreas
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. The entire pancreas

      Quick Answers: 188

      Detailed Answer: 199

  • A child with cystic fibrosis is being treated with inhalation therapy with Pulmozyme (dornase alfa). A side effect of the medication is:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Weight gain
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Hair loss
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Sore throat
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Brittle nails

      Quick Answers: 188

      Detailed Answer: 199

  • The doctor has ordered Percocet (oxycodone) for a client following abdominal surgery. The primary objective of nursing care for the client receiving an opiate analgesic is to:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Prevent addiction
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Alleviate pain
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Facilitate mobility
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Prevent nausea

      Quick Answers: 188

      Detailed Answer: 199

  • Which finding is the best indication that a client with ineffective airway clearance needs suctioning?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Oxygen saturation
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Respiratory rate
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Breath sounds
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Arterial blood gases

      Quick Answers: 188

      Detailed Answer: 199

  • A client with tuberculosis has a prescription for Myambutol (ethambutol HCl). The nurse should tell the client to notify the doctor immediately if he notices:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Gastric distress
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Changes in hearing
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Red discoloration of bodily fluids
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Changes in color vision

      Quick Answers: 188

      Detailed Answer: 199

  • The primary cause of anemia in a client with chronic renal failure is:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Poor iron absorption
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Destruction of red blood cells
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Lack of intrinsic factor
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Insufficient erythropoietin

      Quick Answers: 188

      Detailed Answer: 199

  • Which of the following nursing interventions has the highest priority for the client scheduled for an intravenous pyelogram?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Providing the client with a favorite meal for dinner
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Asking if the client has allergies to shellfish
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Encouraging fluids the evening before the test
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Telling the client what to expect during the test

      Quick Answers: 188

      Detailed Answer: 199

  • The doctor has prescribed aspirin 325mg daily for a client with transient ischemic attacks. The nurse knows that aspirin was prescribed to:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Prevent headaches
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Boost coagulation
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Prevent cerebral anoxia
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Keep platelets from clumping together

      Quick Answers: 188

      Detailed Answer: 199

  • A client with tuberculosis who has been receiving combined therapy with INH and Rifampin asks the nurse how long he will have to take medication. The nurse should tell the client that:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Medication is rarely needed after 2 weeks.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. He will need to take medication the rest of his life.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. The course of combined therapy is usually 6 months.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. He will be re-evaluated in 1 month to see if further medication is needed.

      Quick Answers: 188

      Detailed Answer: 199

  • Which development milestone puts the 4-month-old infant at greatest risk for injury?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Switching objects from one hand to another
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Crawling
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Standing
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Rolling over

      Quick Answers: 188

      Detailed Answer: 199

  • A client taking Dilantin (phenytoin) for tonic-clonic seizures is preparing for discharge. Which information should be included in the client’s discharge care plan?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. The medication can cause dental staining.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. The client will need to avoid a high-carbohydrate diet.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. The client will need a regularly scheduled CBC.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. The medication can cause problems with drowsiness.

      Quick Answers: 188

      Detailed Answer: 200

  • Assessment of a newborn male reveals that the infant has hypospadias. The nurse knows that:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. The infant should not be circumcised.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Surgical correction will be done by 6 months of age.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Surgical correction is delayed until 6 years of age.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. The infant should be circumcised to facilitate voiding.

      Quick Answers: 188

      Detailed Answer: 200

  • The nurse is providing dietary teaching for a client with elevated cholesterol levels. Which cooking oil is not suggested for the client on a low-cholesterol diet?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Safflower oil
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Sunflower oil
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Coconut oil
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Canola oil

      Quick Answers: 188

      Detailed Answer: 200

  • The nurse is caring for a client with stage III Alzheimer’s disease. A characteristic of this stage is:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Memory loss
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Failing to recognize familiar objects
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Wandering at night
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Failing to communicate

      Quick Answers: 188

      Detailed Answer: 200

  • The doctor has prescribed Cortone (cortisone) for a client with systemic lupus erythematosis. Which instruction should be given to the client?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Take the medication 30 minutes before eating.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Report changes in appetite and weight.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Wear sunglasses to prevent cataracts.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Schedule a time to take the influenza vaccine.

      Quick Answers: 188

      Detailed Answer: 200

  • The nurse is caring for a client with an above-the-knee amputation (AKA). To prevent contractures, the nurse should:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Place the client in a prone position 15–30 minutes twice a day
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Keep the foot of the bed elevated on shock blocks
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Place trochanter rolls on either side of the affected leg
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Keep the client’s leg elevated on two pillows

      Quick Answers: 188

      Detailed Answer: 200

  • The mother of a 6-month-old asks when her child will have all his baby teeth. The nurse knows that most children have all their primary teeth by age:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. 12 months
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. 18 months
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. 24 months
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. 30 months

      Quick Answers: 188

      Detailed Answer: 200

  • While caring for a client with cervical cancer, the nurse notes that the radioactive implant is lying in the bed. The nurse should:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Place the implant in a biohazard bag and return it to the lab
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Give the client a pair of gloves and ask her to reinsert the implant
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Use tongs to pick up the implant and return it to a lead-lined container
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Discard the implant in the commode and double-flush

      Quick Answers: 188

      Detailed Answer: 200

  • The nurse is preparing to discharge a client following a laparoscopic cholecystectomy. The nurse should:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Tell the client to avoid a tub bath for 5 to 7 days
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Tell the client to expect clay-colored stools
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Tell the client that she can expect lower abdominal pain for the next week
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Tell the client that she can resume a regular diet immediately

      Quick Answers: 188

      Detailed Answer: 200

  • A high school student returns to school following a 3-week absence due to mononucleosis. The school nurse knows it will be important for the client:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. To drink additional fluids throughout the day
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. To avoid contact sports for 1–2 months
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. To have a snack twice a day to prevent hypoglycemia
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. To continue antibiotic therapy for 6 months

      Quick Answers: 188

      Detailed Answer: 200

  • A 6-year-old with cystic fibrosis has an order for pancreatic replacement. The nurse knows that the medication will be given:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. At bedtime
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. With meals and snacks
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Twice daily
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Daily in the morning

      Quick Answers: 188

      Detailed Answer: 201

  • The doctor has prescribed a diet high in vitamin B12 for a client with pernicious anemia. Which foods are highest in B12?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Meat, eggs, dairy products
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Peanut butter, raisins, molasses
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Broccoli, cauliflower, cabbage
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Shrimp, legumes, bran cereals

      Quick Answers: 188

      Detailed Answer: 201

  • A client with hypertension has begun an aerobic exercise program. The nurse should tell the client that the recommended exercise regimen should begin slowly and build up to:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. 20–30 minutes three times a week
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. 45 minutes two times a week
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. 1 hour four times a week
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. 1 hour two times a week

      Quick Answers: 188

      Detailed Answer: 201

  • A client with breast cancer is returned to the room following a right total mastectomy. The nurse should:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Elevate the client’s right arm on pillows
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Place the client’s right arm in a dependent sling
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Keep the client’s right arm on the bed beside her
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Place the client’s right arm across her body

      Quick Answers: 188

      Detailed Answer: 201

  • A neurological consult has been ordered for a pediatric client with suspected absence seizures. The client with absence seizures can be expected to have:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Short, abrupt muscle contraction
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Quick, bilateral severe jerking movements
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Abrupt loss of muscle tone
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. A brief lapse in consciousness

      Quick Answers: 188

      Detailed Answer: 201

  • A client with schizoaffective disorder is exhibiting Parkinsonian symptoms. Which medication is responsible for the development of Parkinsonian symptoms?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Zyprexa (olanzapine)
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Cogentin (benzatropine mesylate)
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Benadryl (diphenhydramine)
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Depakote (divalproex sodium)

      Quick Answers: 188

      Detailed Answer: 201

  • Which activity is best suited to the 12-year-old with juvenile rheumatoid arthritis?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Playing video games
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Swimming
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Working crossword puzzles
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Playing slow-pitch softball

      Quick Answers: 188

      Detailed Answer: 201

  • The glycosylated hemoglobin of a 40-year-old client with diabetes mellitus is 2.5%. The nurse understands that:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. The client can have a higher-calorie diet.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. The client has good control of her diabetes.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. The client requires adjustment in her insulin dose.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. The client has poor control of her diabetes.

      Quick Answers: 188

      Detailed Answer: 201

  • The physician has ordered Stadol (butorphanol) for a post-operative client. The nurse knows that the medication is having its intended effect if the client:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Is asleep 30 minutes after the injection
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Asks for extra servings on his meal tray
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Has an increased urinary output
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. States that he is feeling less nauseated

      Quick Answers: 188

      Detailed Answer: 201

  • The mother of a child with cystic fibrosis tells the nurse that her child makes “snoring” sounds when breathing. The nurse is aware that many children with cystic fibrosis have:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Choanal atresia
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Nasal polyps
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Septal deviations
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Enlarged adenoids

      Quick Answers: 188

      Detailed Answer: 202

  • A client is hospitalized with hepatitis A. Which of the client’s regular medications is contraindicated due to the current illness?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Prilosec (omeprazole)
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Synthroid (levothyroxine)
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Premarin (conjugated estrogens)
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Lipitor (atorvastatin)

      Quick Answers: 188

      Detailed Answer: 202

  • The nurse has been teaching the role of diet in regulating blood pressure to a client with hypertension. Which meal selection indicates that the client understands his new diet?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Cornflakes, whole milk, banana, and coffee
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Scrambled eggs, bacon, toast, and coffee
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Oatmeal, apple juice, dry toast, and coffee
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Pancakes, ham, tomato juice, and coffee

      Quick Answers: 188

      Detailed Answer: 202

  • An 18-month-old is being discharged following hypospadias repair. Which instruction should be included in the nurse’s discharge teaching?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. The child should not play on his rocking horse.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Applying warm compresses to decrease pain.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Diapering should be avoided for 1–2 weeks.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. The child will need a special diet to promote healing.

      Quick Answers: 188

      Detailed Answer: 202

  • An obstetrical client calls the clinic with complaints of morning sickness. The nurse should tell the client to:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Keep crackers at the bedside for eating before she arises
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Drink a glass of whole milk before going to sleep at night
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Skip breakfast but eat a larger lunch and dinner
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Drink a glass of orange juice after adding a couple of teaspoons of sugar

      Quick Answers: 188

      Detailed Answer: 202

  • The nurse has taken the blood pressure of a client hospitalized with methicillin-resistant staphylococcus aureus. Which action by the nurse indicates an understanding regarding the care of clients with MRSA?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. The nurse leaves the stethoscope in the client’s room for future use.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. The nurse cleans the stethoscope with alcohol and returns it to the exam room.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. The nurse uses the stethoscope to assess the blood pressure of other assigned clients.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. The nurse cleans the stethoscope with water, dries it, and returns it to the nurse’s station.

      Quick Answers: 188

      Detailed Answer: 202

  • The physician has discussed the need for medication with the parents of an infant with congenital hypothyroidism. The nurse can reinforce the physician’s teaching by telling the parents that:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. The medication will be needed only during times of rapid growth.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. The medication will be needed throughout the child’s lifetime.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. The medication schedule can be arranged to allow for drug holidays.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. The medication is given one time daily every other day.

      Quick Answers: 188

      Detailed Answer: 202

  • A client with diabetes mellitus has a prescription for Glucotrol XL (glipizide). The client should be instructed to take the medication:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. At bedtime
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. With breakfast
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Before lunch
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. After dinner

      Quick Answers: 188

      Detailed Answer: 202

  • The nurse is caring for a client admitted with suspected myasthenia gravis. Which finding is usually associated with a diagnosis of myasthenia gravis?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Visual disturbances, including diplopia
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Ascending paralysis and loss of motor function
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Cogwheel rigidity and loss of coordination
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Progressive weakness that is worse at the day’s end

      Quick Answers: 188

      Detailed Answer: 202

  • The nurse is teaching the parents of an infant with osteogenesis imperfecta. The nurse should tell the parents:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. That the infant will need daily calcium supplements
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. To lift the infant by the buttocks when diapering
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. That the condition is a temporary one
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. That only the bones are affected by the disease

      Quick Answers: 188

      Detailed Answer: 202

  • Physician’s orders for a client with acute pancreatitis include the following: strict NPO, NG tube to low intermittent suction. The nurse recognizes that these interventions will:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Reduce the secretion of pancreatic enzymes
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Decrease the client’s need for insulin
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Prevent secretion of gastric acid
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Eliminate the need for analgesia

      Quick Answers: 188

      Detailed Answer: 203

  • A client with diverticulitis is admitted with nausea, vomiting, and dehydration. Which finding suggests a complication of diverticulitis?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Pain in the left lower quadrant
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Boardlike abdomen
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Low-grade fever
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Abdominal distention

      Quick Answers: 188

      Detailed Answer: 203

  • The diagnostic work-up of a client hospitalized with complaints of progressive weakness and fatigue confirms a diagnosis of myasthenia gravis. The medication used to treat myasthenia gravis is:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Prostigmin (neostigmine)
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Atropine (atropine sulfate)
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Didronel (etidronate)
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Tensilon (edrophonium)

      Quick Answers: 188

      Detailed Answer: 203

  • A client with AIDS complains of a weight loss of 20 pounds in the past month. Which diet is suggested for the client with AIDS?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. High calorie, high protein, high fat
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. High calorie, high carbohydrate, low protein
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. High calorie, low carbohydrate, high fat
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. High calorie, high protein, low fat

      Quick Answers: 188

      Detailed Answer: 203

  • The nurse is caring for a 4-year-old with cerebral palsy. Which nursing intervention will help ready the child for rehabilitative services?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Patching one of the eyes to strengthen the muscles
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Providing suckers and pinwheels to help strengthen tongue movement
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Providing musical tapes to provide auditory training
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Encouraging play with a video game to improve muscle coordination

      Quick Answers: 188

      Detailed Answer: 203

  • At the 6-week check-up, the mother asks when she can expect the baby to sleep all night. The nurse should tell the mother that most infants begin to sleep all night by age:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. 1 month
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. 2 months
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. 3–4 months
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. 5–6 months

      Quick Answers: 188

      Detailed Answer: 203

  • Which of the following pediatric clients is at greatest risk for latex allergy?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. The child with a myelomeningocele
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. The child with epispadias
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. The child with coxa plana
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. The child with rheumatic fever

      Quick Answers: 188

      Detailed Answer: 203

  • The nurse is teaching the mother of a child with cystic fibrosis how to do chest percussion. The nurse should tell the mother to:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Use the heel of her hand during percussion
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Change the child’s position every 20 minutes
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Do percussion after the child eats and at bedtime
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Use cupped hands during percussion

      Quick Answers: 188

      Detailed Answer: 203

  • The nurse calculates the amount of an antibiotic for injection to be given to an infant. The amount of medication to be administered is 1.25mL. The nurse should:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Divide the amount into two injections and administer in each vastus lateralis muscle
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Give the medication in one injection in the dorso-gluteal muscle
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Divide the amount in two injections and give one in the ventrogluteal muscle and one in the vastus lateralis muscle
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Give the medication in one injection in the ventro-gluteal muscle

      Quick Answers: 188

      Detailed Answer: 203

  • A client with schizophrenia is receiving depot injections of Haldol Deconate (haloperidol decanoate). The client should be told to return for his next injection in:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. 1 week
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. 2 weeks
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. 4 weeks
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. 6 weeks

      Quick Answers: 188

      Detailed Answer: 203

  • A 3-year-old is immobilized in a hip spica cast. Which discharge instruction should be given to the parents?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Keep the bed flat, with a small pillow beneath the cast
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Provide crayons and a coloring book for play activity
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Increase her intake of high-calorie foods for healing
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Tuck a disposable diaper beneath the cast at the perineal opening

      Quick Answers: 188

      Detailed Answer: 204

  • The nurse is caring for a client following the reimplantation of the thumb and index finger. Which finding should be reported to the physician immediately?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Temperature of 100°F
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Coolness and discoloration of the digits
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Complaints of pain
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Difficulty moving the digits

      Quick Answers: 188

      Detailed Answer: 204

  • When assessing the urinary output of a client who has had extracorporeal lithotripsy, the nurse can expect to find:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Cherry-red urine that gradually becomes clearer
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Orange-tinged urine containing particles of calculi
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Dark red urine that becomes cloudy in appearance
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Dark, smoky-colored urine with high specific gravity

      Quick Answers: 188

      Detailed Answer: 204

  • The physician has prescribed Cognex (tacrine) for a client with dementia. The nurse should monitor the client for adverse reactions, which include:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Hypoglycemia
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Jaundice
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Urinary retention
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Tinnitus

      Quick Answers: 188

      Detailed Answer: 204

  • The physician has ordered a low-potassium diet for a child with acute glomerulonephritis. Which snack is suitable for the child with potassium restrictions?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Raisins
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Oranges
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Apricots
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Bananas

      Quick Answers: 188

      Detailed Answer: 204

  • The physician has ordered a blood test for H. pylori. The nurse should prepare the client by:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Withholding intake after midnight
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Telling the client that no special preparation is needed
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Explaining that a small dose of radioactive isotope will be used
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Giving an oral suspension of glucose 1 hour before the test

      Quick Answers: 188

      Detailed Answer: 204

  • The nurse is preparing to give an oral potassium supplement. The nurse should:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Give the medication without diluting it
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Give the medication with 4oz. of juice
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Give the medication with water only
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Give the medication on an empty stomach

      Quick Answers: 188

      Detailed Answer: 204

  • The physician has ordered cultures for cytomegalovirus (CMV). Which statement is true regarding collection of cultures for cytomegalovirus?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Stool cultures are preferred for definitive diagnosis.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Pregnant caregivers may obtain cultures.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Collection of one specimen is sufficient.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Accurate diagnosis depends on fresh specimens.

      Quick Answers: 188

      Detailed Answer: 204

  • A pediatric client with burns to the hands and arms has dressing changes with Sulfamylon (mafenide acetate) cream. The nurse is aware that the medication:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Will cause dark staining of the surrounding skin
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Produces a cooling sensation when applied
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Can alter the function of the thyroid
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Produces a burning sensation when applied

      Quick Answers: 188

      Detailed Answer: 204

  • The physician has ordered Dilantin (phenytoin) for a client with generalized seizures. When planning the client’s care, the nurse should:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Maintain strict intake and output
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Check the pulse before giving the medication
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Administer the medication 30 minutes before meals
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Provide oral hygiene and gum care every shift

      Quick Answers: 188

      Detailed Answer: 204

  • A client receiving chemotherapy for breast cancer has an order for Zofran (ondansetron) to be given IV 30 minutes before induction of the chemotherapy. The purpose of the medication is to:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Prevent anemia
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Promote relaxation
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Prevent nausea
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Increase neutrophil counts

      Quick Answers: 188

      Detailed Answer: 204

  • The physician has ordered Cortisporin ear drops for a 2-year-old. To administer the ear drops, the nurse should:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Pull the ear down and back
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Pull the ear straight out
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Pull the ear up and back
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Leave the ear undisturbed

      Quick Answers: 188

      Detailed Answer: 205

  • A client with schizophrenia has been taking Thorazine (chlorpromazine) 200mg four times a day. Which finding should be reported to the doctor immediately?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. The client complains of thirst.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. The client has gained 4 pounds in the past 2 months.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. The client complains of a sore throat.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. The client naps throughout the day.

      Quick Answers: 188

      Detailed Answer: 205

  • A client with iron-deficiency anemia is taking an oral iron supplement. The nurse should tell the client to take the medication with:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Orange juice
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Water only
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Milk
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Apple juice

      Quick Answers: 188

      Detailed Answer: 205

  • A client is admitted with burns of the right arm, chest, and head. According to the Rule of Nines, the percent of burn injury is:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. 18%
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. 27%
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. 36%
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. 45%

      Quick Answers: 188

      Detailed Answer: 205

  • A client who was admitted with chest pain and shortness of breath has a standing order for oxygen via mask. Standing orders for oxygen mean that the nurse can apply oxygen at:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. 2L per minute
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. 6L per minute
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. 10L per minute
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. 12L per minute

      Quick Answers: 188

      Detailed Answer: 205

  • The nurse is caring for a client with an ileostomy. The nurse should pay careful attention to care around the stoma because:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Digestive enzymes cause skin breakdown.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Stools are less watery and contain more solid matter.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. The stoma will heal more slowly than expected.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. It is difficult to fit the appliance to the stoma site.

      Quick Answers: 188

      Detailed Answer: 205

  • The physician has ordered aspirin therapy for a client with severe rheumatoid arthritis. A sign of acute aspirin toxicity is:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Anorexia
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Diarrhea
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Tinnitus
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Pruritis

      Quick Answers: 188

      Detailed Answer: 205

  • A client is admitted to the emergency room with symptoms of delirium tremens. After admitting the client to a private room, the priority nursing intervention is to:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Obtain a history of his alcohol use
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Provide seizure precautions
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Keep the room cool and dark
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Administer thiamine and zinc

      Quick Answers: 188

      Detailed Answer: 205

  • The nurse is providing dietary teaching for a client with gout. Which dietary selection is suitable for the client with gout?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Broiled liver, macaroni and cheese, spinach
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Stuffed crab, steamed rice, peas
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Baked chicken, pasta salad, asparagus casserole
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Steak, baked potato, tossed salad

      Quick Answers: 188

      Detailed Answer: 205

  • A newborn has been diagnosed with exstrophy of the bladder. The nurse should position the newborn:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Prone
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Supine
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. On either side
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. With the head elevated

      Quick Answers: 188

      Detailed Answer: 205

  • The mother of a 3-month-old with esophageal reflux asks the nurse what she can do to lessen the baby’s reflux. The nurse should tell the mother to:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Feed the baby only when he is hungry
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Burp the baby after the feeding is completed
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Place the baby supine with head elevated
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Burp the baby frequently throughout the feeding

      Quick Answers: 188

      Detailed Answer: 205

  • A child is hospitalized with a fractured femur involving the epiphysis. Epiphyseal fractures are serious because:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Bone marrow is lost through the fracture site.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Normal bone growth is affected.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Blood supply to the bone is obliterated.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Callus formation prevents bone healing.

      Quick Answers: 188

      Detailed Answer: 206

  • Before administering a nasogastric feeding to a client hospitalized following a CVA, the nurse aspirates 40mL of residual. The nurse should:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Replace the aspirate and administer the feeding
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Discard the aspirate and withhold the feeding
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Discard the aspirate and begin the feeding
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Replace the aspirate and withhold the feeding

      Quick Answers: 188

      Detailed Answer: 206

  • A client has an order for Dilantin (phenytoin) .2g orally twice a day. The medication is available in 100mg capsules. For the morning medication, the nurse should administer:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. 1 capsule
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. 2 capsules
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. 3 capsules
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. 4 capsules

      Quick Answers: 188

      Detailed Answer: 206

  • The LPN is reviewing the lab results of an elderly client when she notes a specific gravity of 1.025. The nurse recognizes that:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. The client has impaired renal function.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. The client has a normal specific gravity.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. The client has mild to moderate dehydration.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. The client has diluted urine from fluid overload.

      Quick Answers: 188

      Detailed Answer: 206

  • A client with acute pancreatitis has requested pain medication. Which pain medication is indicated for the client with acute pancreatitis?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Demerol (meperidine)
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Toradol (ketorolac)
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Morphine (morphine sulfate)
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Codeine (codeine)

      Quick Answers: 188

      Detailed Answer: 206

  • A client with a hiatal hernia has been taking magnesium hydroxide for relief of heartburn. Overuse of magnesium-based antacids can cause the client to have:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Constipation
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Weight gain
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Anorexia
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Diarrhea

      Quick Answers: 188

      Detailed Answer: 206

  • When performing a newborn assessment, the nurse measures the circumference of the neonate’s head and chest. Which assessment finding is expected in the normal newborn?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. The head and chest circumference are the same.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. The head is 2cm larger than the chest.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. The head is 3cm smaller than the chest.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. The head is 4cm larger than the chest.

      Quick Answers: 188

      Detailed Answer: 206

  • A client with a history of clots is receiving Lovenox (enoxaparin). Which drug is given to counteract the effects of enoxaparin?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Calcium gluconate
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Aquamephyton
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Methergine
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Protamine sulfate

      Quick Answers: 188

      Detailed Answer: 206

  • The nurse is formulating a plan of care for a client with a cognitive disorder. Which activity is most appropriate for the client with confusion and short attention span?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Taking part in a reality-orientation group
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Participating in unit community goal setting
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Going on a field trip with a group of clients
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Meeting with an assertiveness training group

      Quick Answers: 188

      Detailed Answer: 206

  • The mother of a child with hemophilia asks the nurse which over-the-counter medication is suitable for her child’s joint discomfort. The nurse should tell the mother to purchase:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Advil (ibuprofen)
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Tylenol (acetaminophen)
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Aspirin (acetylsalicytic acid)
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Naproxen (naprosyn)

      Quick Answers: 188

      Detailed Answer: 206

  • Which home remedy is suitable to relieve the itching associated with varicella?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Dusting the lesions with baby powder
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Applying gauze saturated in hydrogen peroxide
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Using cool compresses of normal saline
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Applying a paste of baking soda and water

      Quick Answers: 188

      Detailed Answer: 206

  • The nurse is caring for a newborn with hypospadias. Which statement describes hypospadias?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. The urinary meatus is located on the underside of the penis rather than the tip.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. The ureters allow a reflux of urine into the kidneys.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. The urinary meatus is located on the topside of the penis rather than the tip.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. The bladder lies outside the abdominal cavity.

      Quick Answers: 188

      Detailed Answer: 207

  • The recommended time for daily administration of Tagamet (cimetidine) is:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Before breakfast
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Mid-afternoon
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. After dinner
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. At bedtime

      Quick Answers: 188

      Detailed Answer: 207

  • Which statement best describes the difference between the pain of angina and the pain of myocardial infarction?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Pain associated with angina is relieved by rest.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Pain associated with myocardial infarction is always more severe.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Pain associated with angina is confined to the chest area.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Pain associated with myocardial infarction is referred to the left arm.

      Quick Answers: 188

      Detailed Answer: 207

  • The nurse is developing a bowel-retraining plan for a client with multiple sclerosis. Which measure is likely to be least helpful to the client:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Limiting fluid intake to 1000mL per day
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Providing a high-roughage diet
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Elevating the toilet seat for easy access
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Establishing a regular schedule for toileting

      Quick Answers: 188

      Detailed Answer: 207

  • The nurse is providing dietary teaching for a client with Meniere’s disease. Which statement indicates that the client understands the role of diet in triggering her symptoms?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. “I can expect to see more problems with tinnitus if I eat a lot of dairy products.”
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. “I need to limit foods that taste salty or that contain a lot of sodium.”
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. “I can help control problems with vertigo if I avoid breads and cereals.”
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. “I need to eat fewer foods that are high in potassium, such as raisins and bananas.”

      Quick Answers: 189

      Detailed Answer: 207

  • The nurse is assessing a multigravida, 36 weeks gestation for symptoms of pregnancy-induced hypertension and preeclampsia. The nurse should give priority to assessing the client for:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Facial swelling
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Pulse deficits
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Ankle edema
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Diminished reflexes

      Quick Answers: 189

      Detailed Answer: 207

  • An adolescent with borderline personality disorders is hospitalized with suicidal ideation and self-mutilation. Which goal is both therapeutic and realistic for this client?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. The client will remain in her room when feeling overwhelmed by sadness.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. The client will request medication when feeling loss of emotional control.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. The client will leave group activities to pace when feeling anxious.
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. The client will seek out a staff member to verbalize feelings of anger and sadness.

      Quick Answers: 189

      Detailed Answer: 207

  • A client with angina has an order for nitroglycerin ointment. Before applying the medication, the nurse should:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Apply the ointment to the previous application
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Obtain both a radial and an apical pulse
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Remove the previously applied ointment
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Tell the client he will experience pain relief in 15 minutes

      Quick Answers: 189

      Detailed Answer: 207

  • The nurse is caring for a client who is unconscious following a fall. Which comment by the nurse will help the client become reoriented when he regains consciousness?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. “I am your nurse and I will be taking care of you today.”
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. “Can you tell me your name and where you are?”
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. “I know you are confused right now, but everything will be alright.”
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. “You were in an accident that hurt your head. You are in the hospital.”

      Quick Answers: 189

      Detailed Answer: 207

  • Following a generalized seizure, the nurse can expect the client to:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Be unable to move the extremities
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Be drowsy and prone to sleep
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Remember events before the seizure
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Have a drop in blood pressure

      Quick Answers: 189

      Detailed Answer: 207

  • A client with oxylate renal calculi should be taught to limit his intake of foods such as:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Strawberries
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Oranges
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Apples
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Pears

      Quick Answers: 189

      Detailed Answer: 208

  • A 6-year-old is diagnosed with Legg-Calve Perthes disease of the right femur. An important part of the child’s care includes instructing the parents:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. To increase the amount of dietary protein
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. About exercises to strengthen affected muscles
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. About relaxation exercises to minimize pain in the joints
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. To prevent weight bearing on the affected leg

      Quick Answers: 189

      Detailed Answer: 208

  • The nurse is assessing an infant with Hirschsprung’s disease. The nurse can expect the infant to:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Weigh less than expected for height and age
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Have infrequent bowel movements
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Exhibit clubbing of the fingers and toes
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Have hyperactive deep tendon reflexes

      Quick Answers: 189

      Detailed Answer: 208

  • The physician has prescribed supplemental iron for a prenatal client. The nurse should tell the client to take the medication with:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Milk, to prevent stomach upset
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Tomato juice, to increase absorption
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Oatmeal, to prevent constipation
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Water, to increase serum iron levels

      Quick Answers: 189

      Detailed Answer: 208

  • The nurse is teaching a client with a history of obesity and hypertension regarding dietary requirements during pregnancy. Which statement indicates that the client needs further teaching?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. “I need to reduce my daily intake to 1,200 calories a day.”
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. “I need to drink at least a quart of milk a day.”
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. “I shouldn’t add salt when I am cooking.”
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. “I need to eat more protein and fiber each day.”

      Quick Answers: 189

      Detailed Answer: 208

  • An elderly client is admitted to the psychiatric unit from the nursing home. Transfer information indicates that the client has become confused and disoriented, with behavioral problems. The client will also likely show a loss of ability in:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Speech
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Judgment
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Endurance
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Balance

      Quick Answers: 189

      Detailed Answer: 208

  • The physician has ordered an external monitor for a laboring client. If the fetus is in the left occipital posterior (LOP) position, the nurse knows that the ultrasound transducer will be located:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Near the symphysis pubis
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Near the umbilicus
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Over the fetal back
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Over the fetal abdomen

      Quick Answers: 189

      Detailed Answer: 208

  • A client develops tremors while withdrawing from alcohol. Which medication is routinely administered to lessen physiological effects of alcohol withdrawal?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Dolophine (methodone)
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Klonopin (clonazepam)
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Narcan (naloxone)
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. Antabuse (disulfiram)

      Quick Answers: 189

      Detailed Answer: 208

  • A client with Type II diabetes has an order for regular insulin 10 units SC each morning. The client’s breakfast should be served within:

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. 15 minutes
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. 20 minutes
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. 30 minutes
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. 45 minutes

      Quick Answers: 189

      Detailed Answer: 208

  • A 10-year-old has an order for Demerol (meperidine) 35mg IM for pain. The medication is available as Demerol 50mg per mL. How much should the nurse administer?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. .5mL
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. .6mL
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. .7mL
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. .8mL

      Quick Answers: 189

      Detailed Answer: 208

  • Which antibiotic is contraindicated for the treatment of infections in infants and young children?

    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      A. Tetracyn (tetracycline)
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      B. Amoxil (amoxicillin)
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      C. Cefotan (cefotetan)
    • A nurse is assigned to care for a client with bipolar disorder in the manic phase
      D. E-Mycin (erythromycin)

      Quick Answers: 189

      Detailed Answer: 208

  • Which behavior indicates that a client who has bipolar disorder with episodes of mania has entered?

    Bipolar disorder can cause your mood to swing from an extreme high to an extreme low. Manic symptoms can include increased energy, excitement, impulsive behaviour, and agitation. Depressive symptoms can include lack of energy, feeling worthless, low self-esteem and suicidal thoughts.

    Which short term goal is most appropriate for a client with depression?

    Take Part in Therapy on a Set Schedule One short-term goal for overcoming depression could be to attend therapy once a week, every week, for at least two months.