1. When preparing insulin for IV administration, the nurse identifies which kind of insulin to use?
A) NPH
B) Human or pork
C) Regular
D) Long acting
2. A 33-year-old client is diagnosed with bipolar disorder, acute phase. This is her first psychiatric hospitalization, and she is being evaluated for treatment with lithium. Which of the following diagnostic tests are essential prior to the initiation of lithium therapy with this client?
A) Hematocrit, hemoglobin, and white blood cell (WBC) count
B) Blood urea nitrogen, electrolytes, and creatinine
C) Glucose, glucose tolerance test, and random blood sugar
D) X-rays, electroencephalogram, and electrocardiogram(ECG)
3. A client has been taking lithium 300 mg po bid for the past two weeks. This morning her lithium level was 1 mEq/L. The nurse should:
A) Notify the physician immediately
B) Hold the morning lithium dose and continue to observe the client
C) Administer the morning lithium dose as scheduled
D) Obtain an order for benztropine (Cogentin)
4. A 23-year-old male client is admitted to the chemical dependency unit with a medical diagnosis of alcoholism. He reports that the last time he drank was 3 days ago, and that now he is starting to 'feel kind of shaky.' Based on the information given above, nursing care goals for this client will initially focus on:
A) Self-concept problems
B) Interpersonal issues
C) Ineffective coping skills
D) Physiological stabilization
5. One afternoon 3 weeks into his alcohol treatment program, a client says to the nurse, 'It - s really not all my fault that I have a drinking problem. Alcoholism runs in my family. Both my grandfather and father were heavy drinkers.' The nurse - s best response would be:
A) 'That might be a problem. Tell me more about them.'
B) 'Risk factors can often be controlled by self-responsibility.'
C) 'It sounds like you - re intellectualizing your drinking problem.'
D) 'Your grandfather and father were both alcoholics?'
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