Question

A nurse is preparing to administer amitriptyline 150 mg PO at bedtime. The amount available is amitriptyline 75 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer 1

Correct Answers:

2

Rationale :

Working: Number of tablets= Desired dose (mg)÷Dose per tablet (mg) Desired dose = 150 mg Dose per tablet = 75 mg/tablet Therefore, Number of tablets= 150mg÷ 75mg/tablet =2tablet(s) Hence, the nurse should administer 2 tablets per dose.

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Answer 2

Correct Answers:

The client must be calm and cooperative

Rationale :

Physical restraints should only be used when absolutely necessary and discontinued as soon as the client demonstrates self-control and no longer poses a danger to themselves or others. The nurse must assess that the client is calm and cooperative before removing restraints, ensuring the safety of the client and staff.

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Answer 3

Correct Answers:

Offer the client a quiet space and remain with them

Rationale :

During a panic-level anxiety episode, the priority is to provide safety and support. Offering a quiet space helps reduce stimuli, and staying with the client ensures they feel secure.

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Answer 4

Correct Answers:

Auditory hallucinations and delusions

Rationale :

Positive symptoms of schizophrenia involve additions or exaggerations to normal behavior, such as hallucinations, delusions, and disorganized thinking.

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Answer 5

Correct Answers:

Panic Attack due to Panic Disorder

Rationale :

The symptoms of sweating, trembling, increased heart rate, and chest pain are hallmark signs of a panic attack

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Answer 6

Correct Answers:

Benzodiazepines

Rationale :

Benzodiazepines, such as diazepam or lorazepam, are the first-line treatment for alcohol withdrawal. They help reduce withdrawal symptoms, prevent seizures, and provide a calming effect

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Answer 7

Correct Answers

Blank 1 Correct Option: exhaustion
Blank 2 Correct Option: excessive physical activity

Rationale :

The client is displaying hyperactive behaviors, such as pacing, lack of sleep, and increased movement throughout the day. These behaviors, common in mania associated with bipolar disorder, put the client at risk for physical exhaustion.

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Answer 8

Correct Answers:

Modeling

Rationale :

Systematic desensitization involves gradually exposing the client to the feared object or situation (in this case, snakes) while teaching them relaxation techniques to manage their anxiety.

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Answer 9

Correct Answers:

Paroxetine

Rationale :

Paroxetine is a selective serotonin reuptake inhibitor (SSRI) commonly prescribed for PTSD. It helps manage symptoms such as anxiety, depression, and intrusive thoughts by improving serotonin levels in the brain.

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Answer 10

Correct Answers:

Initiate suicide precautions and provide a safe environment.

Rationale :

The client’s statement about hopelessness and lack of purpose in living suggests a risk for self-harm or suicide, making safety the nurse's immediate priority.

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QLexNursing

1 : A nurse is preparing to administer amitriptyline 150 mg PO at bedtime. The amount available is amitriptyline 75 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

2 : A nurse is caring for a client who is in physical restraints after demonstrating aggressive behavior. Which of the following criteria must be met before the nurse can remove the restraints?

3 : A nurse is caring for a client who is experiencing panic-level anxiety. The client is trembling, hyperventilating, and unable to focus on the nurse's questions. Which of the following actions should the nurse take first?

4 : A nurse is teaching a client's daughter about the positive and negative symptoms of schizophrenia. Which of the following manifestations should the nurse include as positive symptoms?

5 : A nurse is caring for a client in the emergency department with symptoms of sweating, trembling, increased heart rate, and chest pain. A medical workup shows no physical reason. The nurse suspects which of the following?

6 : A nurse is caring for a client experiencing symptoms of alcohol withdrawal. Which of the following medications would be prescribed?

7 : A nurse on a behavioural health unit is caring for a client

Correct Answers

8 : A nurse is assessing a client who reports an extreme fear of snakes. Which of the following techniques uses gradual exposure while practising relaxation techniques?

9 : A nurse is caring for a client who has posttraumatic stress disorder (PTSD). The nurse anticipates the provider might prescribe which of the following medications?