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A practical nurse is caring for a elderly client (88) admitted to the mental health unit with bipolar disorder. The client is having a hard time with medication management.The client has been taking Lithium for the past 6 months. During morning assessment, the client reports:   a)nausea and vomiting for 2 days  b) diarrhea  c) increasing thirst  d) muscle weaknessThe nurse also notes: e)coarse hand tremors                                   f) slurred speech                                    g) unsteady gait                                    h) confusionVital Signs: i) BP 92/58mmHg, j) HR: 112/min, k)RR: 20/min, l)Temp: 99FLaboratory Results: ABNORMAL   -Sodium: 128mEq/L  – Lithium : 1.9mEq/L  -Creatinine: 1.8mg/dl1) Which assessment finding is the priority?a) mild fever & muscle weakness b) course hand tremors &confusion c) increased thirst and slurred speech   d) muscle weakness and unsteady gait 2) Which diagnosis is the client most likely exhibiting?     a) flu     b) seasonal allergies     c) lithium toxicity     d) CVA   3) which lab is mosst likely contributed to the condition?       a) creatinine      b) sodium level      c) mild fever      d) lithium level

A 6 year old child is admitted to the emergency department with a fractured humerus. The caregiver states, “They fell off the couch.’ During the assessment, the nurse notes; multiple bruises in various stages of healing on the arms and back, the child becomes quiet and withdrawn when the caregiver is present, injury pattern is inconsistent with the reported mechanism, delayed seeking of medical care. The child’s vital signs are stable. The child avoids eye contact and clings to staff when the caregiver leaves the room. Which finding MOST strongly suggests abuse?

A nurse is working the detox unit with several clients. Which finding is most consistent with severe alcohol withdrawal?

An elderly client says, “My caregiver gets angry and sometimes won’t give me my meals.” What type of abuse is this MOST likely?

A new client is admitted to the unit and is  suspected for suidical ideation. What is a warning sign that a client wants to commit suicide?

Which action by the nurse is MOST appropriate when assessing a child for suspected abuse?

During the assessment of a male adolescent, which assessment finding correlates with an intial sign of anorexia nervosa/

A client that is at high risk for suicide is admitted for not taking medication. The client may need to have their antidepressant medication changed to liquid form to avoid ? 

A client says, “ I don’t want to live anymore. Everyone would be better off without me.” Which is the most therapeutic response by the nurse?

Low-income individuals pay a higher percentage amount of taxes compared to high-income earners under a regressive tax system.