NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Part 47 Questions
Question 1 of 1
A client in the emergency department tells the nurse that he 'sees sounds and hears colors' as a result of using lysergic acid diethylamide (LSD). He also is anxious and feels that he is not in touch with himself. The nurse should do which of the following? Select all that apply.
Correct Answer: B, D, E, F
Rationale: Actions include: Decreasing stimuli (
B) to reduce sensory overload, monitoring vital signs (
D) for stability, talking reassuringly (E) to calm the client, and administering lorazepam (F) for increased anxiety. Inducing vomiting (
A) and restraints (
C) are not indicated.
Question 2 of 1
Correct Answer:
Rationale:
Question 3 of 1
Correct Answer:
Rationale:
Question 4 of 1
Correct Answer:
Rationale:
Question 5 of 1
Correct Answer:
Rationale: