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The nurse is assessing a client on admission to the chemical dependency unit for alcohol detoxification. When the nurse asks about alcohol use, this client is most likely to

 A patient is experiencing withdrawal from benzodiazepine dependence. The healthcare provider will monitor the patient for which of the following symptoms? Select all that apply. 

Mrs. Jones, 55 years old, is the primary caregiver for her 78-year-old uncle. The uncle’s cognition is intact, but he is frail and cannot perform activities of daily living without assistance. Which of the following nursing interventions would be priority when the uncle presents for a routine doctor’s visit?

The nurse is working with a client at the battered women’s shelter who is in a violent and abusive relationship. The client is considering a separation and asks the nurse, “What do you think about that?” The best response by the nurse is,

A frightened young woman calls the emergency department and tearfully tells the nurse, “I’ve been raped! Please help me!” Before telling the client what to do, the nurse would need to know if

During an initial assessment of a client admitted to a substance abuse unit for detoxification and treatment, the nurse asks questions to determine patterns of use of substances. Which of the following questions are most appropriate at this time? Select all that apply.

A client was recently admitted to the hospital with a diagnosis of depression. Which assessment finding would the nurse most likely observe?

A client denying suicidal ideations comes into the emergency department complaining about insomnia, irritability, anorexia, and depressed mood. Which interventions would the nurse implement first?

Case Study The 19-year-old- female is treated in the emergency department for an oxycodone overdose. Nurses’ Notes     1700. The client was brought to the emergency department by ambulance accompanied by her brother. Client’s brother found the client unconscious on the bathroom floor with an empty oxycodone bottle. The brother reports the client is struggling with moderate depression after the sudden loss of their mother, and this is the client’s second suicide attempt in the last 6 months.  Client’s brother reports he is very anxious about the client returning home because there are guns in the house. Yesterday he overheard her say that she had a plan to use the gun to end it all.  The client was treated with naloxone in the ambulance. Upon arrival the client is lethargic and confused. Second dose of naloxone given for respiratory rate < 12.   1800. Respiratory status has improved. Client is alert, oriented, but agitated and is pacing in room. Admits the overdose was intentional and stated, “I just want it to be over.” Client is voicing concerns about being in the ED and is looking at the sharp’s container on the wall.  States she has no insurance and “won’t talk to those people again.”   Vital Signs     Time 1700 1800   Temp 98.6F/ 37C 98.0/36.7C   P 50 65   RR 9 12   B/P 100/65 111/75   Pulse oximeter 92% 95%   Pain 0 0     The toxicology report returns and is positive for oxycodone. Select all answers that are a risk for suicide.

A physician prescribes lithium carbonate for a client diagnosed with bipolar disorder. which of the following topics should the nurse cover when teaching the client about this medication? Select all that apply.