ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 72 Questions
Question 1 of 5
Which of the following is the primary reason for monitoring food and fluid intake and toilet patterns of a client with mental disabilities?
Correct Answer: B
Rationale: The nurse monitors food and fluid intake and toilet patterns because data collection facilitates problem identification, not as part of a regular checkup or for determining common symptoms. The physician may refer to these records whenever required.
Question 2 of 5
The nurse is caring for a client diagnosed with delirium. What does the nurse know to be true of delirium?
Correct Answer: B
Rationale: Delirium is a sudden, transient state of confusion. The period of confusion depends on the cause of the delirium. Treating the underlying medical condition usually restores mental function.
Question 3 of 5
A client is taking a traditional antipsychotic medication and is exhibiting grimacing and lip smacking. The nurse would document this side effect as which of the following?
Correct Answer: C
Rationale: Tardive dyskinesia occurs when the client makes involuntary muscle movements, usually in the face, such as tongue thrusting, lip smacking, or blinking. Akinesia is pseudo parkinsonism. Akathisia is the inability to sit still. Dystonia is a sudden severe muscle spasm, usually in the neck, tongue, or eyes.
Question 4 of 5
Which medication classification is given to counteract extrapyramidal symptoms (EPS)?
Correct Answer: C
Rationale: Anticholinergic drugs such as Artane and Cogentin are given to prevent or relieve EPS. Antidepressants, antianxiety, and anticonvulsant medications are not given to counteract EPS.
Question 5 of 5
Which of the following is an outcome of the drug memantine (Namenda) in clients with advanced stages of Alzheimer disease?
Correct Answer: C
Rationale: Clients in advanced stages of Alzheimer disease have fewer symptoms when taking memantine than others who were given a placebo.