A client with bipolar comes to the nursing station 3am and demand to call the doctor, what should the
nurse do that is most appropriate?
a. It is unreasonable to call your doctor, I will not call your doctor at this ho
...
A client with bipolar comes to the nursing station 3am and demand to call the doctor, what should the
nurse do that is most appropriate?
a. It is unreasonable to call your doctor, I will not call your doctor at this hour.
b. Get back in your room, I will call your doctor later
c. I cant call your doctor in the middle of the night, unless it is an emergencry
d. You seem upset about something, how can I help you?
2. Medication Cogentin (benztropine ), why given?
a. (Antipsychoticanticholinergic) To treat Parkinson disease, control tremor and stiffness of the
muscle
b. slow/decrease effect of acetycholine
c. S/S FEVER, dizziness, blurred vision, fainting, constipation, increase HR, headache,
photophobia
d. Monitor liver, kidney, lung, blood glucose
3. Client is sleep walking; the nurse should include in the d/c plan? (SATA)
a. Bed mattress on the ground floor
b. Cluster free environment
c. Lock doors and windows
d. Alert on bed and/or doors
e. Hide car keys
4. Who can write an incident report?
a. The client fell and abrasionthe person who witness the event (RN should co-sign?)
5. S/S of a client who is experiencing an ACUTE grief
a. … ???
6. The patient who has ADHD, S/S:
a. Restlessness
b. Cant focus, poor concentration
c. Compulsive
d. hyperactive
7. Erikson development stage
I. Trust vs. mistrust=infancy (0-1 y/o)
II. Autonomy vs. Shame = early childhood (1.5-3 y/o)
III. Initiative vs. guilt = play age (3-5 y/o)
IV. Industry vs. inferiority = school age (5-12 y/o)
V. Ego identity vs. role confusion = adolescence 912-18 y/o)
VI. Intimacy vs. isolation = young adult (18-40 y/o)
VII. Generatively vs. stagnation “care” = adulthood (40-65)
VIII. Ego integrity vs. despair ‘wisdom” = maturity (65+)
8. Ziprasidone (Geodon)second generation antipsychotic
a. If a client is taking 40 mg TID is that a safe dose? YES, IT IS
b. s/s: dizziness, sedation, arrhythmia
c. GIVEN WITH FOOD
d. monitor VS, neutral weight (300-500 calories)
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