ATI Mental Health 2023 II | Nurselytic

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ATI Mental Health 2023 II Questions

Extract:

Vital Signs

Admission, 1600:
Temperature 36.1° C (97° F)
Blood pressure 98/66 mm Hg
Heart rate 76/min
Respiratory rate 10/min
Pulse oximetry 95% on room air
Day 2, 0800:
Temperature 37.3° C (99.1° F)
Blood pressure 198/86 mm Hg
Heart rate 116/min
Respiratory rate 22/min
Nurses' Notes
Client brought in by a family member who states that the client has been drinking "nonstop since the death of the client's parents 3 months ago."
Client has a history of alcohol use disorder for over 20 years.
Client attended inpatient rehabilitation program 5 years ago and remained sober until several months ago when both parents died.
According to the client's family member, the client has been unable to cope with the sudden death of their parents.
Client is currently unemployed after being laid off.
Client's family member states, "Everything combined caused the drinking to start again." Family member estimates the client's last drink was 2 hr ago.
Day 2, 0800:
Client is in the bathroom vomiting. Assisted the client with oral feeding


Question 1 of 5

A nurse is caring for a client who is experiencing alcohol withdrawal.Exhibits:A nurse is planning care for a client who has alcohol use disorder. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.

OptionsAnticipatedContraindicated
Group therapy
Nutritional consult
Propranolol 40 mg PO twice a day
Perform Alcohol Use Disorders Identification Test (AUDIT)
Schedule electroconvulsive therapy (ECT)
Diazepam 10 mg PO three times a day
Methadone 40 mg PO daily

Correct Answer:

Rationale:
To determine the correct answer, we must consider the client's alcohol withdrawal symptoms and appropriate interventions. Group therapy is anticipated as it provides support. Nutritional consult (
B) is anticipated to address potential malnutrition. Propranolol (
C) is contraindicated in alcohol withdrawal due to risk of hypotension and masking of symptoms. AUDIT (
D) is anticipated for screening. ECT (E) is not indicated for alcohol withdrawal. Diazepam (F) may be considered for severe withdrawal symptoms. Methadone (G) is not indicated for alcohol withdrawal.
Therefore, the correct answer is (0, 1, 0, 1).

Extract:


Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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Similar Questions

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