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A client who has anorexia nervosa is more likely to have ______ resulting from extreme malnutrition. lanugo A client who has bulimia nervosa is likely to have ________ caused by frequent exposur... e to gastric acid from vomiting. dental caries and tooth erosion Extreme distractibility is a hallmark manifestation of ______. delirium Criteria for hospitalization is weight loss over 30% of total body weight in __ months. 6 Severe hypothermia, a temperature lower than ________ due to loss of subcutaneous tissue or dehydration, requires hospitalization. 96.8° F Fine hand tremors are an expected adverse effect of ________ and can interfere with the client's ADLs, causing the client to stop taking the medication. lithium The nurse should encourage the client to drink _______ of fluid each waking hour to maintain hydration. 125 mL An initial response to amitriptyline can develop in 1 week. For a client who has been severely depressed with suicidal ideation, the energy to carry out a plan is ___________. more possible after 1 week of treatment. Clients who are taking tranylcypromine, an MAOI antidepressant, should not take _______ and other over-the-counter medications for sinus congestion, colds, or allergies due to their actions on the sympathetic nervous system, which can result in severe hypertension, phenylephrine The nurse should identify that mild cognitive impairment, such as frequently misplacing objects, is one of the first manifestations expected to occur for a client who has _____. Alzheimer's disease A client who is experiencing ______ is expected to have hypertension, tachycardia, and a fever greater than 38.3° C (101° F). alcohol withdrawal A client who is experiencing alcohol withdrawal can experience profuse sweating and _______ pupils dilated Benztropine is used to treat parkinsonism manifestations, such as _________. shuffling gait St. John's wort is an herbal preparation that decreases the reuptake of serotonin. The nurse should advise the client that taking St. John's wort with another medication that also inhibits the reuptake of serotonin, such as _______, places the client at risk for paroxetine _________ is common in clients who have depression. The nurse should allow the client time to comprehend and formulate an answer to the question. Slowed response time The greatest risk to the client who is experiencing alcohol withdrawal is seizures, an elevated heart rate, and elevated blood pressure. ________ acts rapidly to prevent seizures, stabilize vital signs, and decrease the intensity of withdrawal manifestations IV diazepam It is the _______ responsibility to confrontthe staff member about her behavior toward the client. charge nurse and the nurse manager Clients who have __________ can disrupt the therapeutic milieu for other clients. Therefore, the nurse should move this client to aprivate room. bipolar disorder The nurse should documentthe client's behavior every ______ while the client is in seclusion. 15 to 30 min The nurse should assess the client's behavior frequently during seclusion and shouldrenew the prescription for seclusion for an adult client every __________, for a maximum of 24 hr. 4 hr Normal levels of sodiumand fluid need to be maintained to ensure adequate excretion of ______. lithium The nurse should monitor the child for _______, which is an adverse effect of methylphenidate. tachycardia A traumatic event that causes severe stress is a trigger for ________. dissociative amnesia. Clients who have _______ need excessive input from others to make everyday decisions. dependent personality disorder The nurse should teach the client that he is notresponsible for his disorder, but he is responsible for his __________. recovery Envisioning oneself in a peaceful, calm environment enhances relaxation and is an example of using _______________. guided imagery Emotional lability The rapid transition from one emotion to another and is a primary feature of borderline personality disorder. Clients who have borderline personality disorder react to situations with emotional responses that are out of proportion to the circumstances. The greatest risk to the child who has ADHD is injury from impulsive behavior and the decreased ability to perceive self-harm. Therefore, the priority intervention is to ____________. remove unnecessary equipmentfrom the child's surroundings. The seizure induced during ECT can stress the client's heart. Therefore, the nurse should plan to monitor the client's_______during ECTvia an electrocardiogram. cardiac rhythm The nurse should frequentlyoffer the client, high-calorie foods that can be eaten while the client is on the go. Clients experiencing ________ might be unable to sit down for meals and can experience weight loss and dehydration. mania A sodium level of 128 mEq/Lshould alert the nurse that the client is at risk for _________because renal excretion of lithium is decreased in the presence of a low sodium level. lithium toxicity Clozapine can cause agranulocytosis, which can be fatal due to overwhelming infection. The nurse should identify a WBC count below ________ as a possible manifestation of agranulocytosis and should [Show More]

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