A nurse administers a prescribed dose of lithium at 8 PM. The nurse would schedule a specimen to be obtained for a blood level at which time?

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Question 1 of 5

A nurse administers a prescribed dose of lithium at 8 PM. The nurse would schedule a specimen to be obtained for a blood level at which time?

Correct Answer: D

Rationale: The correct answer is D (08:00). Lithium blood levels are typically drawn 12 hours after the last dose to ensure accuracy. Since the nurse administered the dose at 8 PM, the blood level should be checked at 8 AM the next day for accurate monitoring and adjustment of the dosage. Option A (22:00) is too soon after administration, option B (00:00) is not 12 hours after administration, and option C (04:00) is also not 12 hours after administration. Therefore, option D is the most appropriate time for obtaining a lithium blood level.

Question 2 of 5

A 62-year-old man experienced the loss of his 87-year-old father a week ago. The hospice nurse is making a follow-up visit to determine how he is handling his father's death. Which of the following statements made indicates to the hospice nurse that the patient is in the acute mourning stage of bereavement?

Correct Answer: C

Rationale: The correct answer is C because the statement reflects characteristics of the acute mourning stage, which includes intense emotions such as anger and sadness. The patient expressing anger towards God and crying all the time aligns with the typical reactions seen in the acute mourning stage. This stage is characterized by emotional outbursts and difficulty functioning in daily life. Choice A is incorrect because feeling guilty for not visiting the father and having trouble accepting the death are signs of denial, a stage that typically precedes acute mourning. Choice B is incorrect as it indicates acceptance and readiness to move on, which is not reflective of the acute mourning stage. Choice D is incorrect as it shows a focus on spending time with family and seeking support, which are more indicative of the later stages of mourning rather than the acute phase.

Question 3 of 5

A client with schizoaffective disorder is prescribed clozapine to treat her symptoms. Which of the following instructions would the nurse provide?

Correct Answer: C

Rationale: The correct answer is C because weight gain is a common side effect of clozapine. Monitoring weight is essential to catch any rapid weight gain, which could indicate potential metabolic issues. This instruction is crucial for the client's safety and well-being. A is incorrect because dry mouth is a common side effect of clozapine, but it is not typically necessary to keep a detailed record of the frequency and duration of this side effect. B is incorrect because changes in urine color are not typically associated with clozapine use. D is incorrect because experiencing drowsiness is a common side effect of clozapine and does not necessarily require discontinuation of the medication.

Question 4 of 5

The nurse is caring for a client with schizoid personality trait. When developing the plan of care for the client, which of the following would the nurse most likely include?

Correct Answer: A

Rationale: The correct answer is A: Social skills training. Clients with schizoid personality traits often struggle with forming and maintaining social relationships. Social skills training can help them improve their ability to interact with others, which is a key component of their care. Anger management training (B) is not typically a priority for clients with schizoid personality traits as they tend to avoid emotional expression. Relaxation techniques (C) may be helpful for managing anxiety but may not directly address the client's social difficulties. Coping skills training (D) is broad and may not specifically target the social deficits of clients with schizoid personality traits.

Question 5 of 5

A client with insomnia is taught to avoid watching television, eating, and doing work in the bedroom. Which technique is being used?

Correct Answer: D

Rationale: The correct answer is D: Stimulus control. This technique involves associating the bedroom with sleep by only engaging in sleep-related activities in that space. By avoiding activities like watching TV or working in the bedroom, the client strengthens the association between the bedroom and sleep, improving sleep efficiency. A: Sleep restriction involves limiting the time spent in bed to increase sleep drive. B: Relaxation training focuses on reducing physical and mental tension to promote better sleep. C: Cognitive behavior therapy targets changing negative thought patterns related to sleep.

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